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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT03849898
Other study ID # MFx 60+_RP_v.1.0
Secondary ID
Status Terminated
Phase
First received
Last updated
Start date October 14, 2019
Est. completion date March 29, 2023

Study information

Verified date March 2024
Source AO Innovation Translation Center
Contact n/a
Is FDA regulated No
Health authority
Study type Observational [Patient Registry]

Clinical Trial Summary

Approximately 200 of patients of 60 years or older who present a mandibular fracture will be enrolled in this registry. All patients will be treated and followed up according to the local standard (routine) of care at around 2 weeks, 6 weeks, 3 months and 6 months after treatment.


Description:

Patients of 60 years or older who present a mandibular fracture will be enrolled in this registry. All patients will be treated (surgical or non-surgical) and followed up according to the local standard (routine) of care at around 2 weeks, 6 weeks, 3 months and 6 months after treatment. Data collection will include patient and fracture details, treatment details, functional, clinical and patient-reported outcomes and anticipated or procedure- and implant-related adverse events (i.e. complications). Radiographs and/or other images (e.g. CT scan) taken as per standard of care will be collected within the registry. Primary objectives are to obtain epidemiological data and describe the most common mandibular fracture patterns in older patients, to explore the relationship(s) between the treatment of mandibular fractures and its outcome in older patients, to identify risk factors and initiating factors of elderly related to mandible fracture events and to describe concomitant fractures associated with mandibular fractures in older patients.


Recruitment information / eligibility

Status Terminated
Enrollment 25
Est. completion date March 29, 2023
Est. primary completion date March 29, 2023
Accepts healthy volunteers
Gender All
Age group 60 Years and older
Eligibility Inclusion Criteria: - Age > 60 years at the time of the injury - Diagnosis of any kind of mandibular fracture - Informed consent obtained, i.e.: - Ability to understand the content of the patient information/ informed consent form (ICF) - Willingness and ability to participate in the clinical investigation according to the Registry Plan (RP) - Signed and dated EC/IRB approved written informed consent OR For patients who are not able to provide independent written informed consent: Written consent provided according to defined and IRB/EC approved procedures Exclusion Criteria: - Patients with previous history of mandibular fractures or mandibular defects treated surgically - Participation in any other medical device or medicinal product study within the previous months that could influence bone healing and the results of the present study in the opinion of the treating physician

Study Design


Related Conditions & MeSH terms


Intervention

Procedure:
Surgery
Surgical fracture treatment
Other:
Non-Surgical fracture treatment
Non-Surgical fracture treatment

Locations

Country Name City State
Finland Helsinki University Hospital Helsinki
Germany University Hospital Freiburg Freiburg
Germany Medical Center Hamburg Eppendorf Hamburg
Germany Universitatsklinikum Marburg Marburg
Germany LMU - Klinikum der Universität München München
Germany Bundeswehrkrankenhauses Ulm Ulm
Malaysia Hospital Sungai Buloh Sungai Buloh
Mexico Hospital General de Especialidades Campeche
Netherlands Erasmus MC Rotterdam
Romania Spitalul Clinic Judetean de Urgenta "Sf. Apostol Andrei" Constanta Constanta
Serbia Clinic for Maxillofacial Surgery, University of Belgrade Belgrade
Slovenia University Medical Centre Ljubljana Lubiana
South Africa King Edward VIII Hospital Durban
Spain Hospital Vall d' Hebron Barcelona
Spain Hospital Puerta de Hierro Madrid
Spain Hospital Ramon y Cajal Madrid
Sweden Karolinska University Hospital Stockholm
Sweden Uppsala University Hospital Uppsala
Switzerland Universitaetsspital Basel Basel
Taiwan National Cheng Kung University Hospital Tainan
United States R Adams Cowley Shock Trauma Center Baltimore Maryland
United States UC Davis Health System Sacramento California
United States Harborview Medical Center Seattle Washington
Uruguay Hospital Maciel de Montevideo Montevideo

Sponsors (1)

Lead Sponsor Collaborator
AO Clinical Investigation and Publishing Documentation

Countries where clinical trial is conducted

United States,  Uruguay,  Finland,  Germany,  Malaysia,  Mexico,  Netherlands,  Romania,  Serbia,  Slovenia,  South Africa,  Spain,  Sweden,  Switzerland,  Taiwan, 

Outcome

Type Measure Description Time frame Safety issue
Other Occlusal Status Occlusion will be assessed without the use of dentures and classified follows:
Normal for the patient
Abnormal for the patient (multiple options possible)
Anterior open bite
Crossbite
Lateral open bite in the premolar area
Lateral open bite in the molar area
Deep bite: missing molar and/or pre-molar to support occlusion
Other
Not assessable (in case of edentulous patients or who use prosthesis)
2 weeks / 6 weeks / 3 months / 6 months
Other Degree of malocclusion (if present) The thin-paper bite test will be used to evaluate the status of the occlusion. This test will be performed only if malocclusion is detected. Patients will be asked to close the mouth and bring teeth together while biting into a thin paper (<1mm). Deviations between opposite teeth greater than 1mm will be assessed as major, while deviations <1mm will be assessed as minor. 2 weeks / 6 weeks / 3 months / 6 months
Other Mandibular dysfunction (Helkimo index) Evaluation by means Helkimo Index:
Impaired range of movement (0 normal, 1 slight, 5 severely)
Impaired temporomandibular joint function (0 smooth movement without joint sounds, 1 joint sounds in one or both joints, 5 locking and/or luxation of joint)
Muscle pain (0 no tenderness, 1 tenderness to palpation in 1-3 palpation sites, 5 tenderness in 4 or more palpation sites)
Temporomandibular joint pain (0 no tenderness, 1 tenderness to palpation laterally, 5 tenderness to palpation posteriority)
Pain on movement (0 no pain, 1 pain one movement, 5 pain on two or more movements)
Patients will be classified according to their score as follow:
0 points, clinically symptom free
1 - 4 points: mild dysfunction
5 - 9 points: moderate dysfunction
10 - 13 points: severe dysfunction
15 - 17 points: severe dysfunction
20 - 25 points: severe dysfunction
2 weeks / 6 weeks / 3 months / 6 months
Other Mandibular Movements (mobility index) Interincisal opening/maximal opening is defined as distance in millimeters between the edges of the incisors of the mandibular and the maxillary bone.
Lateral movements: With the mandible slightly open, it is defined as the distance in millimeters from the labioincisal embrasure between the central incisors to the labioincisal embrasure of the mandibular incisors
Protrusive movement: With the mandible slightly open, it is defined as the distance in millimeters between the incisal edges of the maxillary central incisor to the mandibular central incisor.
Depending on the score, the mobility index will be calculated as follow:
0 points: normal mandibular mobility
1 - 4 points: slightly impaired mobility
5 - 20 points: severely impaired mobility
2 weeks / 6 weeks / 3 months / 6 months
Primary Patient-reported outcome Change in Geriatric/general Oral Self Assessment Index (GOHAI) over the follow up period:
Self-reported measurement to describe three hypothetical dimensions 1) physical function, 2) psychosocial function and 3) pain and/or discomfort. It consisted of 12 items evaluated using a 5-point Likert from "never" to "always" in which higher scores indicated better outcomes.
Baseline (preinjury)/ 2 weeks / 6 weeks / 3 months / 6 months
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