Medium-sized posterior fragments in AO Weber-B fractures does open reduction and fixation improve outcome? the POSTFIX-trial protocol a multicenter randomized clinical trial

摘要

BackgroundGuidelines for treatment of the posterior fracture fragment in trimalleolar fractures are scarce and show varying advices. Did the increasing size of the posterior fragment seem to relate to worse outcome in the past, nowadays this has changed to the amount of dislocation of the posterior fragment post-operatively. Despite many retrospective cohort studies and some prospective cohort studies, no consistent guideline could be derived from the current literature.