Heterotopic Ossification Prophylaxis
Acetabular Fracture, Heterotopic Ossification
About this trial
This is an interventional treatment trial for Acetabular Fracture
Eligibility Criteria
Inclusion Criteria:
- Adult aged 18+ with an acute acetabular fracture
- Indicated for surgical fixation via a posterior or combined anterior and posterior approach
Exclusion Criteria:
- Contraindication to radiotherapy such as history of cancer/RT
- Patients that are getting an acute total hip arthroplasty at the time of fixation of the acetabular fracture
- Not English speaking
- Not a Maryland resident or likely to have difficulty returning for post-op follow up(s) (i.e. homeless, incarceration)
Sites / Locations
- University of Maryland, Shock Trauma Center
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
External Beam Radiation (XRT) with Debridement
Debridement Alone (Control)
Patients will receive gluteus minimus debridement in the OR, which is the standard of care at Shock Trauma. If randomized to the treatment group, patients that undergo surgical fixation of an acetabular fracture via a posterior or combined anterior and posterior approach will undergo a single fraction of external beam radiotherapy to the surgical site within 72 hours of surgery. This treatment is currently the standard procedure performed for all patients who undergo a posterior or combined approach at our institution.
The control treatment arm will only include gluteus minimus debridement in the OR and will not receive XRT.