Traumatic Laceration of the Olecranon or Prepatellar Bursa Clinical Trial
Official title:
A Prospective Evaluation of the Current Treatment Regime for Acute Traumatic Laceration of the Olecranon and Prepatellar Bursa
Following a recent publication by the authors [1], there is no standardized treatment regime
for the treatment of lacerations of the olecranon or prepatellar bursa, although primary
bursectomy seems to be the most common treatment regime in Germany, Austria and Switzerland.
The aim of this study is to prospectively follow patients who suffered from an acute
traumatic laceration of the OB or PB treated, according to the local standards, either by
bursectomy (Vie, AT) or bursal reconstruction and direct wound closure (Muc, GER).
[1] Baumbach et al. Evaluation of the current treatment concepts in Germany, Austria and
Switzerland for acute traumatic lesions to the prepatellar and olecranon bursa. Injury
(2012)
A fall onto the elbow or knee often results in a laceration of the olecranon (OB) and
prepatellar bursa (PB), due to their exposed and superficial location. Although a common
injury, the authors are not aware of any study dealing with this entity. In order to get a
first idea on the treatment concepts currently used, the authors conducted a international
online survey among orthopaedic and trauma surgeons in Germany, Austria and Switzerland [1].
The primary treatment approach of more than 70% of Austrian and German surgeons was
bursectomy and immobilization, which was performed by less than 50% of Swiss physicians.
At the Departments of Trauma Surgery of the Medical University of Vienna and of the Medical
University of Munich, two opposing treatment concepts are being practised. Whereas in Vienna
a bursectomy is performed in case of traumatic laceration of the OB and PB, a primary bursal
reconstruction is performed at the Medical University of Munich.
The aim of this study is to prospectively follow patients who suffered from an acute
traumatic laceration of the OB or PB treated, according to the local standards, either by
bursectomy (Vie, AT) or bursal reconstruction and direct wound closure (Muc, GER).
The Hypothesis of this study is, that there is no difference with respect to complications
between bursectomy and bursal reconstruction in case of acute traumatic laceration of the OB
and PB.
1. Baumbach et al. Evaluation of the current treatment concepts in Germany, Austria and
Switzerland for acute traumatic lesions to the prepatellar and olecranon bursa. Injury
(2012)
;
Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment