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Bone Fractures clinical trials

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NCT ID: NCT04593849 Recruiting - Clinical trials for Traditional Chinese Medicine

Therapeutic Effects of Traditional Chinese Medicine in Topical Use on Upper Extremities Fracture

Start date: September 23, 2020
Phase: Phase 2
Study type: Interventional

There is no study evaluating the clinical effect of traditional chinese medicine(TCM) in topical use on musculotendinous injury, nor is that investigating the effectiveness on bone fracture healing. We hypothesize that with aid of topical chinese herbal medicine in addition to oral analgesics can be more beneficial in treating post traumatic injury, launching early mobilization, and enhancing fracture healing process.

NCT ID: NCT04074733 Recruiting - Bone Fractures Clinical Trials

Diagnostic Performance of the Ultra Low-Dose (ULD) Scanner vs. Diagnostic Performance With Standard X-rays in the Emergency Department Compared With Performance of the Standard Classical-dose Scanner for Trauma of the Dorsolumbar Spine, Pelvis and Extremities

ULD-Traumato
Start date: October 21, 2019
Phase:
Study type: Observational

The conventional standard-dose scanner leads to a significantly greater X-ray exposure than the standard X-ray. Recently, technological innovations like the ULD ("Ultra Low Dose") scanner have been developed to reduce the dose of X-rays delivered to the patient. The general purpose of this study is to validate the ULD scanner in case of emergency trauma of the dorsolumbar spine, pelvis and / or extremities.

NCT ID: NCT02828566 Not yet recruiting - Bone Fractures Clinical Trials

Intranasal Ketamine for Procedural Sedation

INK
Start date: October 2017
Phase: Phase 3
Study type: Interventional

This study will examine the effectiveness of intranasal (IN) ketamine compared to standard intravenous (IV) ketamine administration for simple reductions of orthopaedic injuries in the paediatric population. The aim is to assess if IN administration is equivalent to the current standard of care, IV. The population to be studied is children 4-17 years of age who require a simple orthopaedic reduction. Following a double dummy approach to overcome the difficulty in masking interventions, each participant will receive both IV and IN interventions, only one of which will be the real drug. Procedural sedation and analgesia (PSA) will be assessed using the Dartmouth Operative Conditions Scale (DOCS).

NCT ID: NCT02781038 Completed - Clinical trials for Tobacco Use Disorder

Smoking Cessation and a Teachable Moment in Patients With Acute Fractures

Start date: February 2014
Phase: N/A
Study type: Interventional

Patients who smoke and suffer from fractures are worse off than those who do not smoke. Orthopaedic patients represent a group that can benefit from physician contributions to smoking cessation, and a special opportunity to cue this can begin with the orthopaedic surgeon in the acute setting. However, the best way to appropriately counsel these patients and assess the impact as a teachable moment remains undetermined.

NCT ID: NCT02670629 Completed - Radius Fractures Clinical Trials

Management of Distal Radius Fractures in Children Younger Than 11 Years Old.

Start date: January 2013
Phase: N/A
Study type: Interventional

This fractures have been managed with anatomical reduction performed under anesthesia or using sedatives. In our institution this means prolonged hospital stay, involvement of an anesthesiologist and the use of an special room in the Emergency Department. This research protocol was born after reports were published regarding leaving the fractures in an overriding position and cast with good functional and acceptable radiographical results; said study was observational, providing valuable but limited information about this treatment option. On the other hand, our study is a randomized controlled trial between to groups of patients younger than 11 years old who presented to the Emergency Department with completely displaced distal radius fractures, they were randomly assigned to one of two groups, either a closed anatomic reduction and short cast or a closed overriding alignment and short cast.

NCT ID: NCT02551315 Completed - Clinical trials for Type 2 Diabetes Mellitus

Microarchitecture, Bone Strength and Fracture Risk in Type 2 Diabetes

DiabOS
Start date: June 2016
Phase:
Study type: Observational

This multicenter, prospective, observational cohort study will assess bone differences in women and men with type 2 diabetes mellitus (T2DM) with and without fragility fractures.

NCT ID: NCT02435498 Completed - Bone Fractures Clinical Trials

Web-based Education Module for Pain Management

Start date: September 4, 2015
Phase: N/A
Study type: Interventional

This study's objectives are as follows: 1. To evaluate the utility of a website to provide information and guidance about pain management in children 2. To educate parents about the pathophysiology of pain, proper use of analgesic medications and signs of pain in children 3. To reduce the functional impact of pain in children following treatment for fracture 4. To endow parents with confidence to manage their child's pain at home 5. To dispel misconceptions about the use and safety of analgesics in children 6. To increase awareness of complications of fractures such as compartment syndrome

NCT ID: NCT02402868 Completed - Bone Fractures Clinical Trials

Intranasal Versus Intravenous Ketamine for Procedural Sedation in Children

Start date: January 2016
Phase: Phase 3
Study type: Interventional

This study will examine the effectiveness of intranasal (IN) ketamine compared to standard intravenous (IV) ketamine administration for simple reductions of orthopaedic injuries in the paediatric population. The aim is to assess if IN administration is equivalent to the current standard of care, IV. The population to be studied is children 5-17 years of age who require a simple orthopaedic reduction. Following a double dummy approach to overcome the difficulty in masking interventions, each participant will recieve both IV and IN interventions, only one of which will be the real drug. Procedural conscious sedation (PCS) will be assessed using the University of Michigan Sedation Scale (UMSS).

NCT ID: NCT02086981 Completed - Delirium Clinical Trials

The DETEcT Study - Delirium in Elderly paTiEnts Admitted to Trauma

DETEcT
Start date: February 2014
Phase: N/A
Study type: Observational [Patient Registry]

Primary objectives are to define incidence and prevalence of Delirium in an elderly population admitted to the Department of Orthopedics and Traumatology and, in the postoperative phase, in the high Dependency Unit as well as to determine the presence of risk factors. Secondary objectives are to determine mean hospital stay, rates of complications as well as in-hospital mortality and at 1-3 and 12 months after discharge, functional recovery and cognitive outcomes at 1, 3 and 12 moths follow-up.

NCT ID: NCT02014974 Completed - Bone Fractures Clinical Trials

InterNational ORthopaedic MUlticenter Study in Fracture Care

INORMUS
Start date: October 2011
Phase: N/A
Study type: Observational

Background: Worldwide injuries from trauma accidents represents a major population problem. The World Health Organization (WHO) has deemed this problem as one of the most important global priorities, calling 2011-2021 the Global Road Traffic Safety Decade. Despite this, there is little empirical data in low and middle-income countries quantifying the burden of fractures and the current practice of care. Methods: The investigators conducted a multicenter, prospective observational study of patients sustaining fractures or dislocations who presented to an orthopaedic fracture unit at 14 hospitals in India. A representative sample of patients were recruited during an 8-week period starting on October 1, 2012. Patients were followed up to 30-days in hospital or until discharge to determine if they suffered any outcomes. Primary outcomes included total mortality, reoperation, and infection.