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The secondary outcome measures in this trial included Olerud and Molander Ankle Score, radiographic outcomes, and complications. Statistical analysis was performed using SPSS version. P values .05 were considered statistically significant. We hypothesized that MIPO would be associated with better functional outcomes and fewer complications. This study protocol was registered in Research Registry (researchregistry5808). This study protocol was registered in Research Registry (researchregistry5808). Neck pain, sensory disturbance an