Tibial Fractures Clinical Trial
Official title:
Reamed Locked Plating - Metaphyseal Fractures of the Distal Femur and Tibia
Verified date | November 2014 |
Source | Florida Orthopaedic Institute |
Contact | n/a |
Is FDA regulated | No |
Health authority | United States: Institutional Review Board |
Study type | Interventional |
Comminuted metaphyseal fractures (OTA classification A2/3 and C2/3) of the distal femur and
distal tibia are difficult to treat and typically have more complications than other
metaphyseal fractures. Delayed union, nonunion and need for secondary bone graft procedures
are frequent outcomes. These A2/3 and C2/3 fractures of the distal femur and distal tibia
treated with locked plates often have a critical sized fracture gap (poorly organized
cortical pieces many of which are stripped of soft tissue). Optimal management strategies
that minimize both fracture healing time and complication rates remain controversial.
Primary bone grafts or early secondary bone grafts have been recommended for these
comminuted open fractures, but have not been studied as the primary end point in a
randomized trial. There is a need to study primary bone grafting during open reduction and
internal fixation (plating) of these difficult fractures, to determine if shorter healing
time, and thus less need for reoperation, can be achieved.
Hypothesis Acute autogenous bone grafting at the time of fixation will hasten clinical and
radiographic union with a lower need for secondary procedures
Status | Terminated |
Enrollment | 6 |
Est. completion date | August 2014 |
Est. primary completion date | August 2014 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years to 90 Years |
Eligibility |
Inclusion Criteria: - High energy metaphyseal fracture (distal femur or tibia) indicated for plate fixation (open or closed) - Adult, acute fractures only Exclusion Criteria: - Unable to ream fractured bone - Subject is unable, unwilling or unlikely to follow up - Subject is under age 18 years - Prisoners |
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label
Country | Name | City | State |
---|---|---|---|
United States | St Jospehs Hospital | Tampa | Florida |
United States | Tampa General Hospital | Tampa | Florida |
Lead Sponsor | Collaborator |
---|---|
Florida Orthopaedic Institute |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Time to union | This will be evaluated with the reading of xrays | 3 months, 6 months and 1 year | No |
Secondary | Reoperation rate | The rate of re operation will be evaluated | 3 months, 6 months, 1 year | No |
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