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Fractures, Bone clinical trials

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NCT ID: NCT03525977 Recruiting - Clinical trials for Hip Fractures (i.e. Femoral Neck or Intertrochanteric Hip Fractures)

Impact of Fascia Iliaca Block in Hip Fracture Patients

Start date: February 20, 2018
Phase: N/A
Study type: Interventional

The study is a prospective randomized examining the impact of fascia iliaca block on perioperative pain control and post operative ambulation in patients with hip fractures.

NCT ID: NCT03525821 Not yet recruiting - Fractures, Closed Clinical Trials

Intranasal Ketamine and Fracture Reduction in Pediatric Emergencies (KETAPED)

Start date: June 2018
Phase: Phase 3
Study type: Interventional

The incidence of child fractures is around 180 per 10,000 children under 16 years old in industrialized countries. More and more hospitals, such as Nice University Hospital, are using vigilant procedural sedation for simple surgical procedures such as fracture reduction, allowing ambulatory care. This is why the investigators propose the alternative of intranasal ketamine associated with nitrous oxide inhalation in the management of children's pain. Indeed, thanks to its short duration of action and short duration of effectiveness, ketamine is already used in pediatric anesthesia and resuscitation for many years and is considered safe and effective. The objective of this work is to evaluate the efficacy of intranasal ketamine associated with nitrous oxide inhalation in the reduction of isolated fractures from the extremity of the upper limb in children allowing optimal management. This work will consist of research involving non-randomized, monocentric prospective interventional category 1 for duration of 18 months. Patients over 4 years of age and under 18 years, with a closed fracture isolated from the distal extremity of the upper limb, with stable hemodynamic will be included. In view of active queue of pediatric emergencies Nice University Hospital, the investigators can include 60 patients, allowing to have a representative sample of the pediatric population. The treatment administered will be intranasal ketamine, using a tip MAD® (Mucosal Atomization Device) at a dosage of 1 mg/kg in a single administration, under continuous cardiorespiratory monitoring for 2 hours. The reduction of the fracture will be done under inhalation of nitrous oxide. The primary endpoint will be pain control during and after fracture reduction, defined by the FLACC Hetero-Assessment Pain Rating Scale. Others parameters as the evaluation of the degree of sedation, evaluation of the child's feeling of pain after the reduction, evaluation of the feasibility of the preparation and administration of the drug by the nurse will be reported.

NCT ID: NCT03523962 Not yet recruiting - Clinical trials for Surgical Site Infection

Pre-operative Alcohol Skin Solutions in Fractured Extremities

Start date: September 2018
Phase: Phase 3
Study type: Interventional

The prevention of infection is an important goal influencing peri-operative care of extremity fracture patients. Standard practice in the operative management of extremity fractures includes sterile technique and pre-operative skin preparation with an antiseptic solution. The available solutions kill bacteria and decrease the quantity of native skin flora, thereby decreasing surgical site infection (SSI). While there is extensive guidance on specific procedures for prophylactic antibiotic use and standards for sterile technique, the evidence regarding the choice of antiseptic skin preparation solution is very limited for extremity fracture surgery.

NCT ID: NCT03515395 Not yet recruiting - Aging Clinical Trials

Entertainement and Training After a Hip Fracture

Start date: June 15, 2018
Study type: Observational

Older persons are at riskt for falls and fractures. After hip surgery they are normally treated with physical or occupational therapy. The additional use of computer based exercise games for training and the acceptance of such a technology are unclear. Thus, we plant to assess the above outcome ins an observational pilot study.

NCT ID: NCT03511144 Not yet recruiting - Clinical trials for Rheumatoid Arthritis

A Comparison of Two Surgical Techniques Using the Unity Knee™ Total Knee System

Start date: July 2018
Phase: N/A
Study type: Interventional

A comparison of two Unity Knee™ tissue-balancing techniques by analysing the results from X-rays and patient questionnaires.

NCT ID: NCT03506958 Recruiting - Fractures, Bone Clinical Trials

Patient Satisfaction in Treatment of Non-complex Fractures and Dislocations in Hospitals vs General Practitioners

Start date: September 25, 2017
Study type: Observational

Treatment of fractures and dislocations are generally organized in the hospital setting. However, equal care for patients with non-complex fractures or dislocations may be provided in general practices. While substitution of trauma care from the secondary to the primary care setting is stimulated by the government and insurers, it is unknown what the patient satisfaction level is and which determinants affect this patient satisfaction. Therefore, the primary objective of this study is to determine the effect of treatment in a general practice on patient satisfaction compared to treatment in a hospital. The secondary objectives include assessments in quality of life, patient-reported outcomes and cost-effectiveness. Besides, results will be discussed using a small focus group consisting of patients (n=15 per group) and healthcare providers.

NCT ID: NCT03502720 Recruiting - Clinical trials for Scaphoid Bone Fracture

A Personalised Percutaneous External 3D Guide for Scaphoid Fixation

Start date: March 25, 2018
Study type: Observational [Patient Registry]

The investigators want to analyse the advantages of using a 3D constructed prototype from a previous CT Scan to model an external customised guide por percutaneous Scaphoid fixation. The investigators hypothesise that the usage of this device will shorten surgery time, radiation for the surgery team and optimise the percutaneous screw trajectory inside of the scaphoid bone.

NCT ID: NCT03502018 Recruiting - Clinical trials for Femoral Neck Fractures

Hip Fracture Exparel Administration Trial Capsule During Hemiarthroplasty

Start date: March 1, 2018
Phase: Phase 4
Study type: Interventional

This study will examine the efficacy of Liposomal Bupivacaine (Exparel) in hip fracture patients undergoing hip hemiarthroplasty for femoral neck fractures through a posterior approach. Post-operative measures will be assessing pain, overall opiate use, delirium, time-to-ambulation and discharge status.

NCT ID: NCT03498859 Not yet recruiting - Clinical trials for Proximal Humeral Fracture

Efficacy of Physiotherapist-supervised Rehabilitation After Proximal Humerus Fracture

Start date: April 2018
Phase: N/A
Study type: Interventional

This study investigates the efficacy of physiotherapist-supervised training once per week during 10 weeks compared to home-based training during 10 weeks, after proksimal humerus fracture.

NCT ID: NCT03497949 Completed - Hip Fractures Clinical Trials

Peri-operative Vasopressor Support in Patients Operated for an Acute Hip Fracture (AHF)

Start date: January 20, 2017
Study type: Observational

The incidence of hypotension perioperatively during operation of an acute hip fracture is unknown. As a surrogate factor the usage of vasopressor support is more adequate as the registration of vasopressor drugs are many times not complete in records. The investigators retrospectively investigated the anesthetic journals of 1100 patients with an acute hip fracture (AHF) noting confounding factors and the usage of vasopressors either by injections or infusions and then correlated these results to mortality at 30-, 90- and 365- days