Elbow Fracture Clinical Trial
Official title:
"Magnesium-based, Bioresorbable Implants for Pediatric Elbow Fractures, a Single Center Pilot Study for Osteosynthesis With Magnezix Screws in Fractures of the Epicondylus Ulnaris and Condylus Radialis."
NCT number | NCT04571905 |
Other study ID # | CTU 18.028 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | August 1, 2020 |
Est. completion date | July 12, 2023 |
Verified date | September 2023 |
Source | Ostschweizer Kinderspital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The overall objective of the study is to describe the outcomes of osteosyn-thesis with magnesium based screws in children with a primary or second-ary (within 7 days from trauma) dislocated fracture of the Epicondyles ul-naris or Condylus radialis, and to compare them with outcomes of conven-tional osteosynthesis using steel screws. If our results suggest non-inferiority of osteosynthesis with magnesium-based screws, the procedure could be tested formally in a subsequent full-size study.
Status | Completed |
Enrollment | 17 |
Est. completion date | July 12, 2023 |
Est. primary completion date | July 12, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 3 Years to 15 Years |
Eligibility | Inclusion Criteria: - primary or secondary (within 7 days from trauma) dislocated fracture of the Epicondyles ulnaris or Condylus radialis (indication for operative treatment according to international standard: Dislocation of more than 2 mm in Condylus radials fractures and more than 5 mm in Epicondylus ulnas fractures ) - Age 3-15 years - Informed Consent as documented by signature Exclusion Criteria: - - open fractures or complex multi fragment fractures that require dif-ferent osteosynthetic procedures than screw fixation - severe local accompanying injury (injury to nerves/vessels) - polytrauma patients - fracture age > 7 days - preexisting ipsilateral elbow fracture - relevant comorbidities, which have influence on fracture and wound healing - Inability to follow the procedures of the study, e.g. due to language problems, psychological disorders, dementia, etc. of the participant or the legal representatives - Previous enrolment into the current study - Enrolment of the investigator's family members and other dependent persons - Any of the following applicable absolute and relative contraindica-tions listed in the MAGNEZIX® CBS and CSc 4.8 mm instruction for use : Absolute contraindications: - insufficient or avascular bone mass for anchorage of the implant, ex-cept osteochondral fractures and dissecates - confirmation or suspected septic infectious surgical site - application in the area of the epiphyseal plates Relative contraindications: - acute sepsis - alcohol, nicotine and/or drug abuse - epilepsy - poor skin/soft tissue conditions - uncooperative patient or patient with restricted intellectual capacity - no options for adequate postoperative treatment (e.g. temporary strain relief) |
Country | Name | City | State |
---|---|---|---|
Switzerland | Childres Hospital of Eastern Switzerland | Saint Gallen |
Lead Sponsor | Collaborator |
---|---|
Thomas Krebs |
Switzerland,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Clinical and radiologic outcome (fracture consolidation) | radiologic outcome after osteosynthesis with magnesium based screws in children with a primary or secondary (within 7 days from trauma) dislocated fracture of the Epicondyles ulnaris or Condylus radialis Fracture alignment is measured as dislocation distance (mm). Appropriate alignement is a postopera-tive dehiscence or dislocation of less than 5 mm in Epicondylus ulnaris fractures and less than 2 mm in Condylus radialis fractures, according to literature (26/27/31). | 12 months | |
Secondary | Analgesic reuirement | Analgesic requirement via Pain score (Visual Analog Scale, VAS, Range from 1 (no pain) to 10 (strongest pain)) (27) at every study visit (except visit 1: preop. assessment) | 12 months | |
Secondary | ROM | Clinical reassessment at Routine follow-ups at every study visit
- An Arc >100° shows a good functional result, arc 50-100° is a fair (acceptable) result, arc <50° shows a poor (unsatisfactory) result, according to the Mayo elbow performance index (see appendix). |
12 months | |
Secondary | Woundhealing | Clinical reassessment at Routine follow-ups at every study visit
- Classification in normal or delayed/impaired. Signs for im-pairment are local secretion, swelling, reddening or wound dehiscence. |
12 months | |
Secondary | Clinical fracture consolidation after one year | Clinical reassessment at Routine follow-ups at every study visit
- Clinical signs for good consolidation are: no pain while palpating the fracture site. |
12 months |
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