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Acetabular Fracture clinical trials

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

Weight-bearing of Surgically Treated Acetabular Fractures.

Start date: February 2021
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 Not yet recruiting - 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.

NCT ID: NCT04626388 Not yet recruiting - Acetabular Fracture Clinical Trials

Postoperative Score Predictive of the Prognosis of Acetabular Fractures

SCORE_COTYLE
Start date: December 9, 2020
Phase:
Study type: Observational

Acetal fractures are joint fractures that occur in the hip. These fractures affect the functional prognosis of the hip in the short, medium and long term. In the acetabulum fractures operated on, there is a radiological score in the literature allowing the prognosis to be predicted depending on the quality of the postoperative reduction. This score is based on the quality of postoperative reduction assessed on pelvic radios. In addition, the thresholds for poor / good results were determined empirically.

NCT ID: NCT04615104 Recruiting - Acetabular Fracture Clinical Trials

Pelvic and Acetabular Fracture: A Prospective Observational Study

PACE
Start date: January 1, 2020
Phase:
Study type: Observational

The purpose of this study is to understand the trajectory of function and self-reported outcomes of patients following pelvic and acetabular, treated both operatively and nonoperatively.

NCT ID: NCT04393571 Not yet recruiting - Acetabular Fracture Clinical Trials

The Utility of Mobile Based Patient Reported Outcome Measures in Patients With Acetabular Fractures: A Randomized Controlled Trial.

Start date: October 1, 2020
Phase: N/A
Study type: Interventional

Acetabular fractures are articular fractures involving the hip joint that needs anatomical reduction and a strict long follow up after fixation.

NCT ID: NCT04303442 Recruiting - Bleeding Clinical Trials

Corona Mortis in Patients Undergoing TEP for Inguinal Hernia

Start date: January 2, 2020
Phase:
Study type: Observational

This study aim to describe the presence, type and size of Corona mortis (CMOR) in patients undergoing total extraperitoneal (TEP) inguinal hernia repair procedures. This study also aim to describe the preperitoneal vascular anatomy of inguinal area and provide in vivo knowledge about CMOR.

NCT ID: NCT04073329 Not yet recruiting - Acetabular Fracture Clinical Trials

Acetabular Fracture Reduction Assessment

Start date: October 2019
Phase:
Study type: Observational

It is widely accepted in the literature that quality of acetabular fracture reduction is one of the most important factor for the outcome. To obtain best results, anatomical reduction has to be obtained. Intra-operative radiographic assessment depends mainly on plain x-ray. Plain x-ray alone is not enough for post-operative assessment as it depends mainly on reduction of the dome with concentricity of the hip.

NCT ID: NCT03952026 Completed - Acetabular Fracture Clinical Trials

Impact of Associated Abdominal Injuries on Clinical and Operative Outcome in Pelvic Injuries

Start date: December 6, 2018
Phase:
Study type: Observational [Patient Registry]

Pelvic fractures are severe injuries which require advanced orthopedic surgical skills to treat. On the other hand, abdominal injuries are severe injuries, which might require quick general surgical treatment. The combination of both injuries is a challenge for orthopedic surgeons, as the abdominal injury might lead to a delayed surgical treatment of the pelvic fracture. Whether an associated abdominal injury influences the quality of care of pelvic fractures, is aim of this registry study.

NCT ID: NCT03929536 Completed - Acetabular Fracture Clinical Trials

Treatment of Acetabular Fractures in Elderly Patients

ACETA
Start date: March 27, 2019
Phase:
Study type: Observational

This retrospective study investigates surgical treatment of acetabular fractures in elderly patients (>60 years of age), either undergoing joint-preserving surgery or joint- replacement. 1 year- outcome with regard to mobility and autonomy is assessed.