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Fractures, Bone clinical trials

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NCT ID: NCT03636646 Not yet recruiting - Acetabular Fracture Clinical Trials

Analysis of the Posterior Wall Fracture of the Acetabulum

Start date: August 2018
Phase:
Study type: Observational

Assessement,evaluation of postoperativ reduction of posterior wall acetabular fractures in Assiut University Hospital

NCT ID: NCT03635060 Not yet recruiting - Clinical trials for Distal Radius Fracture

Distraction Osteogenesis for Distal Radius Fractures vs. Volar Plating

DORSAL
Start date: August 30, 2018
Phase: N/A
Study type: Interventional

Optimal fixation for highly comminuted distal radius fractures with metadiaphyseal extension remains to be a major treatment challenge for orthopaedic surgeons. The purpose of this study is to determine the safety, feasibility and sample size estimations for a larger, definitive study comparing functional outcomes of patients treated with dorsal distraction plate fixation with or without fragment specific fixation to standard open reduction internal fixation in highly comminuted distal radius fractures (subtypes AO.23-C2 and AO.23-C3). The study design will be a pilot randomized control trial. Fracture pattern eligibility will be determined by consensus agreement between two fellowship trained upper extremity specialists. The primary outcome measure will be the QuickDASH score. Secondary outcome measures include wrist range of motion, grip strength, Visual Analog Scale pain scale, Short Form SF-12, and EQ-5D. Ultimately, this study will lead to a larger randomized control trial and result in improvement in the care and treatment of patients with these challenging injuries.

NCT ID: NCT03634865 Completed - Clinical trials for Fracture Fixation, Internal

Screw Lengths in Radius Volar Plates

PESLDRF
Start date: January 25, 2018
Phase:
Study type: Observational

Background Fractures of the distal radius are among the most common. Major complications, including irritation and rupture of the extensor tendons, may occur if epiphyseal screws of inappropriate length are used. Questions/Purposes The main objective of the present study was to determine whether the optimal epiphyseal screw length can be determined by reference to the diaphyseal screw length. Methods Forty CT scans were semi-automatically segmented. A 3D model of the volar plate was affixed to each distal radius with simulation. The maximum lengths of the diaphyseal screws, as well as the four distal epiphyseal screws, were measured. Linear regression analysis was performed.

NCT ID: NCT03625154 Not yet recruiting - Ankle Fractures Clinical Trials

Operative Versus Non Operative Management Outcomes of Isolated Lateral Malleolar Weber B Ankle Fractures

Start date: September 1, 2018
Phase: N/A
Study type: Interventional

The primary objective of this study is to determine the failure rate and difference in clinical outcomes between operative and non operative treatment of patients with Weber B lateral malleolus ankle fractures with medial clear space widening on gravity stress views. All patients presenting will be treated non operatively, and compared to an observational group comprised of patients with Weber B lateral malleolus ankle fractures without medial clear space widening, for which the standard of care is non operative management. Patients who decline non operative management and elect to undergo operative open reduction internal fixation with plates and screws will comprise an operative observational cohort. All patients will be followed for a total of 12 months from the time of injury. Clinical outcomes will be based on radiographic monitoring for ankle mortise congruency, as well as standardized SF-36 and AOFAS questionnaire scores.

NCT ID: NCT03621527 Recruiting - Clinical trials for Vertebral Compression Fractures in Osteoporotic Patients

Efficacy of Fluoroscopy-guided Epidural Anesthesia for Osteoporotic Vertebral Compression Fracture Treated by Percutaneous Vertebroplasty

VTB EPI-AL
Start date: May 3, 2018
Phase: N/A
Study type: Interventional

Vertebral compression fractures in osteoporotic patients is a major healthcare problem. Percutaneous vertebroplasty is commonly used to restore stability of the vertebra and to alleviate pain. However, the anesthetic techniques commonly used during these procedures such general anesthesia or a combination of local anesthesia and sedation are not satisfying as they are associated either with side effects or insufficient pain reduction. This study compares the standard procedure of local anesthesia to a new technique of fluoroscopy-guided epidural anesthesia carried out by the radiologist. The investigator's hypothesis is that fluoroscopy-guided epidural anesthesia - provides better pain relief during the injection of high viscosity cement - and thus, reduces the need of additional intravenous analgesia by remifentanil (morphine analogue) - minimizes remifentanil potential adverse effects such as respiratory depression, hypoxemia, pruritus and nausea - improves working conditions and satisfaction of the radiologist - improves the global satisfaction of the patient It is a monocentric, prospective, comparative and randomized study.

NCT ID: NCT03619785 Recruiting - Rib Fractures Clinical Trials

US-guided SAPB for Rib Fractures in the ED

Start date: August 13, 2018
Phase: Phase 4
Study type: Interventional

The purpose of this randomized controlled study is to determine whether the serratus anterior plane block reduces pain more than the usual treatment for rib fractures in the same amount of time.

NCT ID: NCT03618576 Not yet recruiting - Hip Fractures Clinical Trials

Balance Rehabilitation After Hip Fracture Surgery

BRS
Start date: August 2018
Phase: N/A
Study type: Interventional

The overall functional gain by balance rehabilitation after hip fracture surgery has not yet been fully investigated. Therefore, clinical studies should be conducted to evaluate the effectiveness of systematic and safe balance rehabilitation in patients after hip fracture. Investigators aim to evaluate the effect of computer-based balance specific exercise on the performance and balance ability of the elderly women who underwent hip fracture surgery. Investigators also investigate the intervention can reduce their fear of falling and coping ability. This study was designed as a prospective, open-label, single-center trial at a tertiary hospital setting. During the 2-week postoperative intervention period, patients will participate in the hospital's exercise program beginning 5-7 days after hip fracture surgery. All participants will follow the computer-based balance specific exercise program. Functional outcomes will be measure periodically for 6 months after surgery.

NCT ID: NCT03617094 Recruiting - Vertebral Fracture Clinical Trials

Early Percutaneous Vertebroplasty Versus Standard Conservative Treatment in Thoracolumbar Vertebral Fractures

AGIL11
Start date: May 14, 2018
Phase: N/A
Study type: Interventional

The aim of this study is to evaluate the efficacy of carrying out early vertebroplasty procedure, compared to the standard conservative treatment (corset), in order to prevent residual deformations that could occur in complications of vertebral fractures that are medically treated using a corset. This is a monocentric, randomized, parallel group, prospective and open-label study.

NCT ID: NCT03613922 Completed - Clinical trials for Distal Radius Fracture

Effects of Early Manual Therapy on Functional Outcomes After Volar Plating of Distal Radius Fractures

Start date: September 2015
Phase: N/A
Study type: Interventional

The aim of the study was to investigate the effects of early manual therapy on function, pain, range of motion (ROM), hand and pinch grip strength and disability level in patients underwent volar plating after distal radius fracture (DRF). Patients were randomly divided into two groups: Routin Physiotherapy (RP) or Early Manual Therapy (EMT). While RP group received routine physiotherapy, EMT group received routine physiotherapy plus Mulligan's Mobilization With Movement technique. All treatments were done two sessions a week, through 12 weeks. Function, pain, range of motion (ROM), hand and pinch grip strength and disability level of patients were assessed. Measurements were made at postoperative week 3, 6 and 12.

NCT ID: NCT03610113 Recruiting - Humeral Fractures Clinical Trials

Reverse Or Nothing For Complex Proximal Humeral Fractures

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

Reverse shoulder prosthesis has recently emerged as an acute treatment for complex proximal humeral fractures. Promising functional results have been reported in observational papers. However, no clinical trials have yet been reported when comparing the conservative treatment to surgical treatment through the use of reverse shoulder arthroplasty.