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Use of Continuous Passive Motion in the Post-Operative Treatment of Intra-articular Knee Fractures

Primary Purpose

Intra-articular Knee Fractures

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Continuous Passive Motion
Sponsored by
Prisma Health-Upstate
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Intra-articular Knee Fractures

Eligibility Criteria

18 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • If the patient has an intra-articular distal femur or proximal tibia fracture
  • Independent ambulatory prior to injury
  • No previous knee injury limiting motion

Exclusion Criteria:

  • If the patients range of motion was decreased prior to injury (ex. Osteoarthritis, previous knee fracture or injury)
  • Any contraindication to CPM (concomitant hip or ankle fracture)
  • Open physis of tibia or distal femur
  • Pathological Fracture
  • Compartment Syndrome
  • Neurovascular injury
  • Fracture due to gunshot wound
  • Greater than 21 days from fracture to definitive open reduction and internal fixation
  • Fractures treated with definitive external fixation
  • Open fractures
  • Extensor mechanism injuries
  • Likely problems in the judgment of the investigator with maintaining follow-up

Sites / Locations

  • Greenville Hospital System Univeristy Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

No Intervention

Active Comparator

Arm Label

1

2

Arm Description

No Continuous passive motion following ORIF of fractures around the knee

Continuous Passive Motion following ORIF of fractures around the knee

Outcomes

Primary Outcome Measures

Knee Range of Motion

Secondary Outcome Measures

Full Information

First Posted
December 28, 2007
Last Updated
March 11, 2013
Sponsor
Prisma Health-Upstate
Collaborators
Orthopaedic Trauma Association
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1. Study Identification

Unique Protocol Identification Number
NCT00591929
Brief Title
Use of Continuous Passive Motion in the Post-Operative Treatment of Intra-articular Knee Fractures
Official Title
Use of Continuous Passive Motion in the Post-Operative Treatment of Intra-articular Knee Fractures
Study Type
Interventional

2. Study Status

Record Verification Date
March 2013
Overall Recruitment Status
Completed
Study Start Date
December 2006 (undefined)
Primary Completion Date
March 2012 (Actual)
Study Completion Date
March 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Prisma Health-Upstate
Collaborators
Orthopaedic Trauma Association

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Decreased range of motion is common after fractures around the knee and can impact a patient's ability to perform activities of daily living such as rising from a seated position or getting in and out of a bathtub. A continuous passive motion (CPM) machine is a machine that continuously moves a joint (such as the knee) without the patient having to use the muscles in his/her leg. A goal of this therapy is to maintain as much motion as possible following this injury. This study is a randomized, prospective study to evaluate the effectiveness of CPM in maintaining knee range of motion following open reduction and internal fixation (ORIF) of fractures around the knee

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Intra-articular Knee Fractures

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
40 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
No Intervention
Arm Description
No Continuous passive motion following ORIF of fractures around the knee
Arm Title
2
Arm Type
Active Comparator
Arm Description
Continuous Passive Motion following ORIF of fractures around the knee
Intervention Type
Other
Intervention Name(s)
Continuous Passive Motion
Intervention Description
at least 48 hours of continuous passive motion following ORIF of fractures around the knee
Primary Outcome Measure Information:
Title
Knee Range of Motion
Time Frame
48 hours, 2 weeks, 6 weeks, 3 months, 6 months and 1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: If the patient has an intra-articular distal femur or proximal tibia fracture Independent ambulatory prior to injury No previous knee injury limiting motion Exclusion Criteria: If the patients range of motion was decreased prior to injury (ex. Osteoarthritis, previous knee fracture or injury) Any contraindication to CPM (concomitant hip or ankle fracture) Open physis of tibia or distal femur Pathological Fracture Compartment Syndrome Neurovascular injury Fracture due to gunshot wound Greater than 21 days from fracture to definitive open reduction and internal fixation Fractures treated with definitive external fixation Open fractures Extensor mechanism injuries Likely problems in the judgment of the investigator with maintaining follow-up
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kyle J. Jeray, MD
Organizational Affiliation
Greenville Hospital System
Official's Role
Principal Investigator
Facility Information:
Facility Name
Greenville Hospital System Univeristy Medical Center
City
Greenville
State/Province
South Carolina
ZIP/Postal Code
29605
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Use of Continuous Passive Motion in the Post-Operative Treatment of Intra-articular Knee Fractures

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