Types of Fixation of Vancouver B1 Periprosthetic Fractures
This study is currently recruiting participants.
(see Contacts and Locations)
Verified October 2016 by St. Michael's Hospital, Toronto
Sponsor:
St. Michael's Hospital, Toronto
Information provided by (Responsible Party):
St. Michael's Hospital, Toronto
ClinicalTrials.gov Identifier:
NCT01354535
First received: May 13, 2011
Last updated: October 24, 2016
Last verified: October 2016
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Purpose
The purpose of this study is to compare two different but standard treatments for the fixation of Vancouver B1 periprosthetic. The investigators aim to compare open reduction internal fixation using a locked plating system versus plating and strut allograft with cerclage wiring to determine which treatment results in a faster return to function as measured by the TUG test at 6 weeks post-op.
| Condition | Intervention |
|---|---|
|
Femur Fractures |
Procedure: Isolated Locked Compression Plate Procedure: Cable Plating and Strut Allograft with Cerclage Wiring |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Isolated Locked Compression Plating Versus Cable Plating and Strut Allografts With Cerclage Wiring for Vancouver B1 Periprosthetic Femoral Fractures: A Randomized Controlled Trial |
Resource links provided by NLM:
Further study details as provided by St. Michael's Hospital, Toronto:
Primary Outcome Measures:
- TUG test score at 6 weeks post-op [ Time Frame: 6 weeks ]We will administer the TUG test to each patient at 6 weeks to determine if there is a difference in functional status between both groups.
Secondary Outcome Measures:
- Re-operation rates [ Time Frame: 1 year ]We will measure rates of re-operationin each of the treatment groups on study specific case report forms.
| Estimated Enrollment: | 89 |
| Study Start Date: | February 2013 |
| Estimated Study Completion Date: | June 2018 |
| Estimated Primary Completion Date: | June 2017 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Cable plating with strut
The plate will be placed laterally with the allograft strut placed on the anterior cortex. Screw fixation will be used distal to the stem and cables and screws will be used proximal to the stem tip. Cerclage cables or wires will be used to secure the strut.
|
Procedure: Cable Plating and Strut Allograft with Cerclage Wiring
The plate will be placed laterally with the allograft strut placed on the anterior cortex. Screw fixation will be used distal to the stem and cables and screws will be used proximal to the stem tip. Cerclage cables or wires will be used to secure the strut.
|
|
Active Comparator: isolated plating
A lateral thigh incision will be used to expose the fracture site. Surgeons will attempt to minimize devascularization of the bone by meticulous dissection and indirect reduction techniques. An appropriate sized plate will be applied to the lateral aspect of the femur. Fracture reduction will be achieved with the use of intra-operative fluoroscopy and the plate will be secured with locking screws.
|
Procedure: Isolated Locked Compression Plate
A lateral thigh incision will be used to expose the fracture site. Surgeons will attempt to minimize devascularization of the bone by meticulous dissection and indirect reduction techniques. An appropriate sized plate will be applied to the lateral aspect of the femur. Fracture reduction will be achieved with the use of intra-operative fluoroscopy and the plate will be secured with locking screws.
|
Eligibility| Ages Eligible for Study: | 18 Years to 90 Years (Adult, Senior) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Age: over 18, no upper limit
- Vancouver type B1 periprosthetic fracture
- Fracture is amenable to either treatment group
- Prosthesis is well fixed
- Provision of informed consent
Exclusion Criteria:
- Presence of an active infection around the fracture (soft tissue or bone)
- Loose prosthesis
- Trauma patients with an ISS > 16 or associated major injuries of the lower extremities
- Known substance abuse
- Likely problems, in the judgment of the investigators, with maintaining follow-up (i.e., patients with no fixed address, report a plan to move out of town, or intellectually challenged patients without adequate family support)
Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study.
To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below.
For general information, see Learn About Clinical Studies.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01354535
Please refer to this study by its ClinicalTrials.gov identifier: NCT01354535
Contacts
| Contact: Emil Schemitsch, MD, FRCS(C) | 416-864-6003 | schemitsche@smh.ca | |
| Contact: Michael McKee, MD, FRCS(C) | 416-864-5880 | mckeem@smh.ca |
Locations
| Canada, Ontario | |
| St. michael's Hospital | Recruiting |
| Toronto, Ontario, Canada, M5C 1R1 | |
| Contact: Milena Vicente, RN, CCRP 416-864-6060 ext 2608 vicentem@smh.ca | |
| Principal Investigator: Emil Schemitsch, MD, FRCS(C) | |
| Sub-Investigator: Aaron Nauth, MD, FRCSC | |
Sponsors and Collaborators
St. Michael's Hospital, Toronto
Investigators
| Principal Investigator: | Emil Schemitsch, MD, FRCS(C) | St. Michael's Hospital, Toronto |
| Principal Investigator: | Aaron Nauth, MD, FRCSC | St. Michael's Hospital, Toronto |
More Information
| Responsible Party: | St. Michael's Hospital, Toronto |
| ClinicalTrials.gov Identifier: | NCT01354535 History of Changes |
| Other Study ID Numbers: |
13052011 |
| Study First Received: | May 13, 2011 |
| Last Updated: | October 24, 2016 |
Keywords provided by St. Michael's Hospital, Toronto:
|
periprosthetic femur fractures Vancouver B1 |
Additional relevant MeSH terms:
|
Fractures, Bone Femoral Fractures Periprosthetic Fractures Wounds and Injuries Leg Injuries |
ClinicalTrials.gov processed this record on May 25, 2017