Single-Window Versus Two-Window Posterolateral Approach for Malleolar Fractures

The purpose of this prospective clinical trial is to compare the clinical outcomes and early wound complication rates of two different surgical techniques used during the posterolateral approach for ankle fractures. Participants with fractures involving the posterior and lateral malleoli will undergo surgery using either a single-window technique (using a posterior antiglide plate) or a two-window technique (using a lateral anatomic plate). The main question the study aims to answer is whether the single-window approach reduces soft-tissue complications by minimizing surgical dissection, without compromising fracture stability. Patients will be followed for 12 months to assess wound healing, ankle range of motion, implant irritation, and functional recovery.

NCT Number	NCT07481266
Lead Sponsor	muhammed kılıç
Conditions	Ankle Fractures, Posterior Malleolus Fractures, Lateral Malleolus Fracture
Enrollment	100 participants
Start Date	2024-02-14
Primary Completion	2026-09 (estimated)
Study Completion	2027-03 (estimated)
Updated on ClinicalTrials.gov	2026-03-20