Pelvic Fracture Clinical Trial
Official title:
Conservative or Operative Therapy in Patients With a Fragility Fracture of the Pelvis: a Prospective, Randomized Controlled Trial
In our society the population consists of more elderly patients. Medical treatment needs to be adjusted to this patient group. This research project focusses on patients with a fragility fracture of the pelvis. This results from a minor trauma and can cause a long immobilization period because of severe pain. For FFP type II b and II c there is no consensus on the best treatment option. Either a surgical minimal invasive sacroiliac osteosynthesis or conservative treatment is a possibility. Of course, both treatment options have pros and cons. This research project will randomize all patients with a FFP IIb or IIc fracture in either surgical or conservative treatment. These treatments will be evaluated at the follow-ups, 4 weeks, 4 months and 1 year after trauma. This will be evaluated with the DEMMI, Accelerometer, EQ-5D (EuroQol Quality of Live Questionnaire), radiological results, range of motion, pain-levels and reporting any postoperative complications or adverse events. Patient will be included over a period of 18 months and will be followed for at least a year. This research project aim to answer the question which treatment option for FFP type IIb and IIc is the most adequate.
Status | Recruiting |
Enrollment | 68 |
Est. completion date | December 30, 2025 |
Est. primary completion date | December 30, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | N/A and older |
Eligibility | Inclusion Criteria: - Informed Consent as documented by signature - The fracture must be a fragility fracture. This means absence of high energy trauma. - Fragility fracture of the sacrum (FFP II b + c). Involvement of the ventral pelvic ring is not an exclusion criteria. - Able to walk 4 meters before fracture Exclusion Criteria: - Patients who had a high energy trauma. - FFP I or FFP III+IV were operative therapy is recommended - Patient who are not operable according to the anaesthesiologist on call. - Open fractures. - Revision surgeries. - Absent contact information - Living abroad and cannot participate in follow-up visits. - Withdrawal from the study. |
Country | Name | City | State |
---|---|---|---|
Switzerland | Luzerner Kantonsspital | Lucerne |
Lead Sponsor | Collaborator |
---|---|
Björn-Christian Link |
Switzerland,
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* Note: There are 17 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Mobility level | DEMMI (0-100, 100 is maximal mobility) | 1 year | |
Secondary | Pain levels | VAS (visual analogue scale, 0-10, 0 means no pain) | 1 year | |
Secondary | Clinical characteristics | Age | Baseline | |
Secondary | Clinical characteristics | Gender | Baseline | |
Secondary | Clinical characteristics | ASA-Score (1-6, 1 is a healthy patient) | Baseline | |
Secondary | Clinical characteristics | BMI | Baseline, 1 year | |
Secondary | Clinical characteristics | Osteoporosis treatment (yes or no) | Baseline | |
Secondary | Medication | Reporting what kind of medications all patients take (including steroids, anticoagulation, pain killers, et cetera) | Baseline, 1 year | |
Secondary | Clinical characteristics | Surgical related complications | Through study completion, an average of 1 year | |
Secondary | Clinical characteristics | Length of hospital stay after first admission | after discharge | |
Secondary | Clinical characteristics | Fracture classification (FFP I - IV) | Baseline | |
Secondary | Clinical characteristics | FES-1 (falls efficacy scale, 16-64, 16 means no fear of falling, 64 is the maximum) | 1 year | |
Secondary | Clinical characteristics | EQ-5D (0-100, 100 is the best possible health status) | 1 year | |
Secondary | Clinical characteristics | SPPB (short physical performance battery, 0-12, 12 is the best function) | 1 year | |
Secondary | Mobility level | Barthel Index (0-100, 100 is completely independent) | 1 year | |
Secondary | Mobility level | Accelerometer (this is a device that continously measures the activity level of an patient. It comes in the form of a bracelet) | During 1 week after 4 Months | |
Secondary | Mobility level | TUG (time up and go test) | 1 year | |
Secondary | Mobility level | 5 Chair rise | 1 year |
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