Effect of a Novel Reamer-Irrigator-Aspirator on the Incidence of Fat Embolism (RIA)

This study has been completed.
Sponsor:
Collaborators:
Orthopaedic Trauma Association
Synthes Inc.
Information provided by (Responsible Party):
Jeremy Hall, St. Michael's Hospital, Toronto
ClinicalTrials.gov Identifier:
NCT00509171
First received: July 30, 2007
Last updated: April 30, 2013
Last verified: April 2013

July 30, 2007
April 30, 2013
January 2005
January 2013   (final data collection date for primary outcome measure)
Extent of intra-operative embolic events. [ Time Frame: Duration of surgical procedure. ] [ Designated as safety issue: No ]
Extent of intra-operative embolic events. [ Time Frame: Duration of surgical procedure. ]
Complete list of historical versions of study NCT00509171 on ClinicalTrials.gov Archive Site
Measured pulmonary responses. [ Time Frame: Duration of surgical procedure. ] [ Designated as safety issue: No ]
Measured pulmonary responses. [ Time Frame: Duration of surgical procedure. ]
Not Provided
Not Provided
 
Effect of a Novel Reamer-Irrigator-Aspirator on the Incidence of Fat Embolism
A Prospective Randomized Trial Investigating the Effect of a Novel Reamer-Irrigator-Aspirator on the Incidence of Fat Embolism and Respiratory Function During Intramedullary Nailing of Femoral Shaft Fractures

The purpose of this study is to determine the effect on the incidence of fat emboli when using a Reamer-Irrigator Aspirator during reamed IM nail fixation of femoral shaft fractures

The current practice of reaming the medullary canal for the fixation of femur fractures is recommended, however, there is an associated increase in the level of embolic events which confers morbidity and, occasionally, mortality.

The RIA is a single device which is able to ream the medullary canal, irrigate the canal and subsequently aspirate the reamed medullary contents in order to get rid of medullary fat and other contents responsible for these adverse embolic events.

A novel Reamer-Irrigator-Aspirator (RIA) (Synthes, Inc) will be evaluated in a randomized study, to determine its effect on the incidence of fat emboli events during reamed IM nail fixation of consecutive femoral shaft fractures as measured by intra-operative transesophageal echocardiogram and pulmonary function.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Primary Purpose: Treatment
  • Embolism
  • Femoral Fractures
Device: Reamer Irrigator Aspirator
Use of standard reamer vs reamer irrigator-aspirator during IM nailing of tibial shaft fractures
  • Active Comparator: 1
    Standard reamer
    Intervention: Device: Reamer Irrigator Aspirator
  • Active Comparator: 2
    Use of the Reamer-Irrigator Aspirator
    Intervention: Device: Reamer Irrigator Aspirator
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
22
January 2013
January 2013   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Participant aged 16 to 65 years of age
  • Skeletally mature
  • Isolated, closed femoral shaft fracture (participant may also have sustained a distal radius/wrist, distal tibia/ankle, hand, and/or foot fractures for eligible inclusion)
  • Fracture amenable to an antegrade I.M. nail
  • Fracture amenable to insertion of a 12 mm RIA
  • Fracture ≤ 48 hrs post injury
  • Participant has a 'Thorax' Abbreviated Injury Score (AIS) of < 2
  • Participant has a 'Head & Neck' AIS score of < 2
  • Provision of informed consent

Exclusion Criteria:

  • Fracture proximal to the lesser trochanter
  • Open fracture
  • Participant has a humeral, tibial, contralateral femoral, spinal,and/or pelvic fracture
  • Pathological fracture
  • Fractures > 48 hrs post injury
  • Limited life expectancy due to significant medical co-morbidities
  • Previous history of esophageal/gastric surgery
  • Previous history of esophageal/gastric tumor
  • Previous history of esophageal varices
  • Medical contraindication to surgery
Both
16 Years to 65 Years
Yes
Contact information is only displayed when the study is recruiting subjects
Canada
 
NCT00509171
R-6-30-MAR-07
No
Jeremy Hall, St. Michael's Hospital, Toronto
St. Michael's Hospital, Toronto
  • Orthopaedic Trauma Association
  • Synthes Inc.
Principal Investigator: Jeremy A Hall, MD, FRCSC St. Michael's Hospital, Toronto
Principal Investigator: Emil Schemitsch St. Michael's Hospital, Toronto
St. Michael's Hospital, Toronto
April 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP