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Fractures, Bone clinical trials

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NCT ID: NCT02346929 Recruiting - Clinical trials for Distal Radius Fracture

Hematoma Block for Distal Radius Fracture

Hematoma Block
Start date: August 2014
Phase: N/A
Study type: Interventional

The purpose of this study is to determine the efficacy of ultrasound guided hematoma block versus traditional "blind" hematoma block for analgesia in distal radius fracture reduction.

NCT ID: NCT02346786 Not yet recruiting - Fractures Clinical Trials

Epidemiology of Incidents and Accidents in Sport. Influence of Moisture.

Start date: April 2015
Phase: Phase 3
Study type: Interventional

sports accidents and incidents are relatively frequent. We hypothesize that the pursuit of good hydration, including days without training or competition could prevent their occurrence

NCT ID: NCT02345369 Terminated - Hip Fractures Clinical Trials

Locked Versus Unlocked Set Screws in Intramedullary Fixation of Intertrochanteric Fractures

Start date: January 2015
Phase: N/A
Study type: Interventional

The purpose of this study is to look at the effect of locking or not locking a set screw when placing a rod and screws device in the thigh bone and hip to fix hip fractures. The set screw is an extra screw in the device that will not allow the screw that goes into the ball of the ball and socket joint in the hip to slide at all in relation to the rod in the thigh bone, which it goes through. It is not known whether it is better to lock the set screw (not allow sliding of the hip screw) or leave it unlocked (allow sliding of the hip screw). Participants in this study are patients with intertrochanteric hip fractures receiving standard care for this injury (lining the fracture up in a normal position and inserting a rod in the thigh bone with a screw that goes through the rod into the ball of the ball and socket of the hip). Patients who consent to participate will be randomized to one of two arms : 1. Set screw is unlocked or 2. Set screw is locked. Participants will all get standard postoperative care and standard postoperative xrays.

NCT ID: NCT02341443 Completed - Clinical trials for Mandibular Fractures

A Multicenter RCT to Investigate the Treatment of Double (Bilateral) Mandibular Fractures

DMFx
Start date: April 2015
Phase: N/A
Study type: Interventional

Mandibular fractures represent approximately 50% of the total facial fractures and are commonly (more than half) presented in more than one location. A few simple fractures can be treated using a conservative approach. More often, however, mandibular fractures require stabilization using open reduction and internal fixation. Simple mandibular fractures can be treated using non-rigid fixation techniques that rely on the load-sharing principle, by which stabilization is accomplished with both fixation devices and bone surfaces. On the other hand, more complex fractures with continuity defects or comminuted need to be handle using rigid fixation where the device assumes all the forces (load-bearing principle). These approaches are well established, whereas the level of evidence for the treatment of bilateral double mandibular fractures (DMF) is still scarce. In fact, which surgical treatment, or combination of treatments, leads to the best outcome and the lowest rate of complications in bilateral DMFs is an open question. The purpose of this study is to assess the complication rate in patients suffering from bilateral DMF treated either using non-rigid fixation on both fracture sides or a combination of rigid fixation on one side and non-rigid fixation on the other side.

NCT ID: NCT02338492 Completed - Clinical trials for Humerus Fracture Metastatic Bone Disease

Safety and Efficacy Study of Treatment of Pathological Fractures in Humerus

Start date: March 2015
Phase: N/A
Study type: Interventional

This study will collect safety and performance data of the Photodynamic Bone Stabilization System (PBSS) when used for the treatment of fractures of the humerus secondary to metastatic cancer.

NCT ID: NCT02336035 Active, not recruiting - Clinical trials for Distal Radius Fracture

Distal Radius Fractures in Patients Over 65 Years, Operation or Cast?

DROC
Start date: January 2015
Phase: N/A
Study type: Interventional

Eligible patients that sign an informed consent will be randomized to operation with volar locking plate or cast immobilization. Primary follow-up after 1 year.

NCT ID: NCT02334618 Completed - Ankle Fracture Clinical Trials

Insole Sensor to Determine Optimal Limb Loading in the Rehabilitation of Ankle Fractures

Start date: August 2014
Phase: N/A
Study type: Observational

The purpose of this study is to use a novel load monitoring technology to correlate limb loading to ankle fracture outcomes. This study will collect continuous limb loading data and will provide the first objective insight into how limb loading directs fracture healing.

NCT ID: NCT02332681 Recruiting - Osteoporosis Clinical Trials

Osteoporosis and Knee Insufficiency Fracture

Start date: December 2014
Phase: N/A
Study type: Observational

Osteoporosis is a systemic bone disease characterized by low bone mass and microarchitectural deterioration of bone tissue with consequent bone fragility and susceptibility to fracture. Fifty percent of women and 20% men older than 50 y.o. will have an osteoporotic fracture (fragility fracture). Fragility fracture is defined as one that results from a low-energy trauma such as a fall from body height. A previous fracture is an important predictor of a new fracture, especially in the first 5 years after initial fracture. A second fracture can be particularly devastating if it is a hip fracture. Low bone mineral density, measured by bone densitometry, as well as a previous osteoporotic fracture, are the two major risk factors for the occurrence of a new fracture. A more rational approach currently used to minimize the costs of health care in a shorter period of time uses the strategy of firstly preventing the occurrence of secondary fracture, followed by primary prevention strategies. In this context, correct identification of fragility fractures and consequent treatment of those individuals is imperative. There are currently insufficient data about the epidemiology and evolution of other fragility fractures, also known as non-vertebral non-hip fracture (NVNH). Among these, distal radius fracture and proximal humerus fractures are the most frequent. There is a type of fracture, however, that is simply ignored by the medical community: the knee insufficiency fracture.A possible explanation for this information gap could be the fact that, until a few years ago, this entity was believed to be a osteonecrosis of the knee. Only recently it is becoming clear that the cause of pain and marrow bone edema that occur subtly in older individuals is, in fact, a insufficiency fracture. The perception that this lesion is actually a fracture is relatively new. The knee insufficiency fracture usually occurs in older individuals and those with knee osteoarthritis. This study therefore aims to evaluate whether there is a relation between knee insufficiency fracture and osteoporosis. Moreover, it is expected to find out if this fracture may be defined as a fragility fracture, electing the individuals affected by it to a prophylaxis for the occurrence of new osteoporotic fracture.

NCT ID: NCT02330302 Completed - Hip Fracture Clinical Trials

Single Shot Fascia Iliaca Block vs Femoral Nerve Block for Analgesia for Surgical Fixation of Hip Fractures

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

Hip fractures are common in our elderly population and is associated with pain before and after surgery. The current pain management for patients who have undergone surgery for hip fractures include a combination of oral painkillers, opioids (eg morphine) and regional anaesthesia techniques, which involves the injection of local anaesthetic drugs near nerves supplying the hip joint to numb the operation site. As opioids have many side effects, especially in the elderly patients, regional anaesthesia techniques can help to reduce the use of opioids and the related side effects. This may enhance their recovery and length of hospital stay

NCT ID: NCT02327949 Active, not recruiting - Clinical trials for Fracture of Posterior Wall of Acetabulum

W-Shaped Acetabular Angular Plate (WAAP) Versus Reconstruction Plate

Start date: December 2014
Phase: Phase 4
Study type: Interventional

The purpose of this study is to determine whether this new W-Shaped Angular Plate is more effective and more safe to operate than the traditional reconstruction plate in the treatment of the posterior wall fracture of acetabulum.