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Acetabular Fracture clinical trials

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NCT ID: NCT06298578 Not yet recruiting - Acetabular Fracture Clinical Trials

The Utility of Mobile Based Application for Patient Reported Outcome Measures In Patients With Acetabular Fractures : A Randomized Clinical Trial

Start date: April 1, 2024
Phase:
Study type: Observational

The primary objective of this study is to validate the feasibility of a remote patient monitoring (RPM) system using Mobile App in terms of the frequency of data interruptions and patient acceptance. The secondary objective is to Improve quality of life and early prediction of the complications.

NCT ID: NCT06238804 Recruiting - Acetabular Fracture Clinical Trials

Characteristic Analysis and Surgical Exploration for Acetabular Roof Fractures: Multicenter Retrospective Cohort Study

CASEARF
Start date: January 1, 2024
Phase:
Study type: Observational

Acetabular roof was a crucial structure for maintaining the stability of hip joint; however, its important role was not especially emphasized in the Letournel-Judet classification system. Acetabular roof was segmented into the roof column and roof wall in Three-column classification and fracture in this area alone was defined as A3 injury. Radiographic data and functional outcome of A3 injury patients were reviewed to explore the characteristics and surgical strategy.

NCT ID: NCT06005753 Recruiting - Acetabular Fracture Clinical Trials

Surgical Treatment of Injuries and Consequences of the Acetabulum

Start date: November 25, 2021
Phase: N/A
Study type: Interventional

The aim of the program is to develop technologies for the diagnosis and treatment of injuries and consequences of the pelvis. Purpose: to improve the technique of surgical treatment of acetabular fractures.

NCT ID: NCT05606042 Recruiting - Acetabular Fracture Clinical Trials

Curvafix® Intramedullary System for Fixation of Pelvic and Acetabular Fractures, A Post Market Evaluation

Start date: November 24, 2021
Phase:
Study type: Observational

Prospective, single arm, post-market evaluation to evaluate the use and performance of the IM Implant in a post market setting.

NCT ID: NCT05332938 Completed - Acetabular Fracture Clinical Trials

Impact of Acetabular Fractures on Sports Performance

Fracture&Sport
Start date: April 10, 2022
Phase:
Study type: Observational

Acetabular fractures are complex, relatively rare lesions that are difficult to manage. Given the surgical challenge they represent, they are often managed by expert centers. The overall incidence of these fractures is around 3 fractures/100,000 persons/year. It is now well established that the quality of the reduction obtained is an important predictive factor of the postoperative outcome in patients with displaced acetabular fractures. Obtaining an anatomical reduction, at least satisfactory, is not always easy, even in trained teams. Indeed, it can be difficult because of the structural environment. This is due to the proximity of the acetabulum to the vasculo-nervous elements, but also to the complexity of the fracture itself. The contribution of new technologies appear to be important tools to achieve this objective. Indeed, investigators have demonstrated that the use of the O-ARM imaging system (Medtronic®, Sofamor, Memphis, TN) allowed the improvement of their results. Although they occur more frequently in the elderly population, the average incidence is maintained in the 20-59 age group. In these young populations, the fracture occurs most frequently as a result of a high-energy mechanism (road accident, more exceptionally, during a sporting activity). These patients, in the prime of their lives, are often athletic. The desire to resume sports after surgery is a powerful motivating factor for these patients. Often, it is the primary measure of surgical success from the athlete's perspective. In a previous work, Giannoudis et al. reported a 42% rate of return to activity at the previous level. The quality of the surgery is associated with the possibility of resuming sports activity after the procedure. Thus, the objective of this work is to determine the results of acetabular surgery in a population of previously athletic patients, in particular the return to athletic performance.

NCT ID: NCT04902209 Completed - Hip Fractures Clinical Trials

Static Balance Disorders in Patients After Surgical Treatment of Hip Acetabular Fractures

Start date: January 2014
Phase:
Study type: Observational

The mechanism of maintaining balance is a complex phenomenon, involving numerous systems of human body. High-energy trauma resulting in acetabular fracture damages some of the elements composing this delicate mechanism, potentially increasing the risk of falls in patients. There have not been any studies so far on balance levels in patients after surgical treatment of acetabular fractures. Questions/purposes 1. Do balance disorders occur in patients after ORIF of acetabular fractures? 2. Do surgical approach and fracture pattern influence balance level of patients? 3. Should therapy programs include certain stabilometric parameters adequate especially for this type of injury?

NCT ID: NCT04867278 Enrolling by invitation - Acetabular Fracture Clinical Trials

Heterotopic Ossification Prophylaxis

Start date: May 9, 2021
Phase: N/A
Study type: Interventional

One complication that can occur after surgery on the acetabulum is the development of bone in abnormal places such as muscle and soft tissues. There is some evidence that a single dose of radiation to the surgical site within 3 days of surgery will prevent this abnormal bone from forming. However, there are no high quality studies proving that radiation works any better than doing nothing at all. The purpose of our study is to determine whether there is a difference in abnormal bone formation after acetabular surgery when patients are treated with external beam irradiation versus no treatment.

NCT ID: NCT04724811 Not yet recruiting - Acetabular Fracture Clinical Trials

Weight-bearing of Surgically Treated Acetabular Fractures.

Start date: May 2024
Phase: N/A
Study type: Interventional

The purpose of this study is to determine whether patients with operatively treated acetabular fractures benefit from early weight-bearing as tolerated. The study compares two groups ( n = 25 each), which are randomised into either weight-bearing as tolerated or touch-down weight-bearing for 6-8 weeks postoperatively. Both study groups are stratified according to - Type of fracture (anterior approach vs anterior + additional posterior approach) - Dislocated dome vs non-dislocated/ non existing separate dome fragment Patients, who are eligible to participate in the trial but choose not to participate in randomisation are asked to enrol in a prospective cohort follow-up cohort. This is to examine a potential participation bias in the RCT groups. These patients will not be counted into the target amount of 50 RCT patients.

NCT ID: NCT04688814 Completed - Pain, Postoperative Clinical Trials

SEQ Block for Perioperative Analgesia in Acetabular Surgery

Start date: December 25, 2020
Phase: Phase 3
Study type: Interventional

The study will evaluate ultrasound guided SEQ block: single puncture combined lumbar erector spinae plane block and paraspinous sagittal shift (PSSS) quadratus lumborum block when compared with conventional intravenous morphine analgesia in patients undergoing posterior column acetabular fracture surgery

NCT ID: NCT04660734 Completed - Acetabular Fracture Clinical Trials

Advantages of 3D Printing in the Management of Acetabular Fractures

Start date: September 1, 2016
Phase: N/A
Study type: Interventional

Background: Acetabular fractures result from violent trauma, and their incidence has been increasing in recent years. The Kocher-Langenbeck surgical approach is used for the internal fixation of displaced fractures of the posterior structures of the acetabulum. The quality of the reduction and the stability of osteosynthesis directly influence the function of the repaired acetabulum. In the surgical management of acetabulum fractures, 3D printing of a bone model is increasingly used during preoperative planning by trauma surgeons worldwide. Questions: Is there a difference in the surgical time of the Kocher-langenbeck reduction and fixation of the posterior structures of the acetabulum between 3D printing (which allows for shaping of the reconstruction plate prior to surgery) and the conventional technique? Are there any differences in complications between the two techniques? Are there any short-term differences in the functional and radiographic scores between 3D printing and the conventional technique? Methods: 109 consecutive patients who sustained fractures of the acetabulum were screened for inclusion. 43 patient were studied. The first group (G1) consisted of 20 patients who underwent prior molding of the osteosynthesis plate on a 3D-printed model. The second group (G2 or control group) included 23 patients who underwent surgery using the conventional technique. We compared surgical time, intraoperative blood loss, the difference between pre- and postoperative hemoglobin, and the onset of early infection, paralysis of the sciatic nerve, and deep vein thrombosis.