Patient Education Using 3D Printed Model

Ankle Injuries Clinical Trial

Official title:

Effect of Multimodal Patient Education With a Personalized 3D Printed Model in Patients With Severe Periarticular Ankle Fractures

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT04009252
• Other study ID #: 2019
• Status: Not yet recruiting
• Phase: N/A
• Start date: July 1, 2019
• Est. completion date: December 1, 2020

Study information

• Verified date: July 2019
• Source: Ottawa Hospital Research Institute
• Contact: Karl Lalonde, MD
• Phone: 613-737-8920
• Email: karllalonde[@]ottawahospital.on.ca
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Complex high energy fractures of the lower extremity are life changing injuries and are known to be associated with poor functional outcome post operatively. The list of potential post-operative complications associated with these injuries is long, and the worst of these fractures can even be limb threatening. One of the most difficult and prevalent post-operative issues this patient population faces is chronic pain and its association to opioid addiction, which is currently an epidemic across North America. These individuals not only present with physical insult but psychological trauma as well, which also greatly affects these patients post-operatively. Properly educating the patient about their injury and the process that they will embark on can greatly empower the patient as they begin their journey of rehabilitation. This process can hopefully mute or silence some of these modifiable risk factors predisposing patients to poor functional outcomes and chronic pain. The investigators also hope to help them initiate/develop coping strategies to better overcome the many obstacles these patients face and to do so using 3D printing. 3D printed models have not only been demonstrated to be valuable in orthopaedics, when it comes to educating patients about their disease and associated interventions, but many other specialties as well; such as: cardiac surgery, urology, and general surgery. Literature suggest that often little is understood or retained by the patient following a patient consent with regards to their injury, potential complications, interventions to be undertaken, as well as the rehabilitation process to follow. By providing the patient with a 3D printed model of their fracture while educating them pre-/post-operatively, the investigators hope they will better understand the aforementioned, often forgotten points, indirectly yielding better overall patient satisfaction, patient outcomes and pain scores.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 28
• Est. completion date: December 1, 2020
• Est. primary completion date: July 1, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 70 Years

Eligibility

Inclusion Criteria:

• periarticular injury involving the plafond, calcaneus or talus that requires open reduction and internal fixation

• Patient must have a completed CT scan as part of their pre-operative planning protocol

Exclusion Criteria:

• open fracture

• patient with known psychiatric history (depression, borderline personality disorder, bipolar etc)

• prior fracture fixation of the same ankle or foot

• diabetic neuropathy/Charcot foot

• dementia or other cognitive comorbidities (ie stroke etc)

• no primary address

• patient who were not independent mobilizers prior to injury

Related Conditions & MeSH terms

• Ankle Fractures
• Ankle Injuries
• Fracture, Ankle

Intervention

Behavioral:
• 3D Model Education
A 3D model of the patients ankle fracture will be printed and used as a teaching tool to discuss long-term outcomes and potential complications.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Ottawa Hospital Research Institute

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Musculoskeletal Outcomes Data Evaluation and Management Scale (MODEMS) Expectations Questionnaire (expectations)	The expectations of a patient in regards to their ankle surgery, this questionnaire is on a Likert scale from 1 to 5 with 1 indicating a worse score.	Change between pre-operative and 3 months after the patients operation
Primary	Musculoskeletal Outcomes Data Evaluation and Management Scale (MODEMS) Expectations Questionnaire (satisfaction)	The satisfaction of a patient in regards to their ankle surgery, this questionnaire is on a Likert scale from 1 to 5 with 1 indicating a worse score.	3 months post-operative
Secondary	Visual Analogue Score (VAS) for Pain	Patient will indicate on a scale from 1 to 10 cm on how bad they feel their pain is with a score of 1 indicating no pain and 10 indicating extreme pain.	Change between pre-operative to 6 months post-operative, this questionnaire is on a Likert scale from 1 to 5 with 1 indicating a worse score.
Secondary	SF-12	Measure of quality of life	Change between pre-operative to 6 months post-operative
Secondary	Foot and Ankle Ability Measure (FAAM)	Measure of ankle specific function	Change between pre-operative to 6 months post-operative