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Comparison of Operating Room Time Length With the Use of Virtual Surgical Planning Versus Conventional Treatment of Mandible Fractures

Primary Purpose

Mandibular Fractures

Status
Recruiting
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Control group without use of VSP
Treatment Group with use of VSP
Sponsored by
The University of Texas Health Science Center, Houston
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Mandibular Fractures

Eligibility Criteria

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

Inclusion Criteria:

  • Patient consent
  • Complex mandible fracture (at least two fractures) that require ORIF of at least one fracture. This will exclude condylar fractures

Exclusion Criteria:

  • Patient refusal to participate in study
  • Infected mandible fracture
  • Closed reduction treatment of mandible fracture
  • Fractures older than 2-3 weeks at the time of treatment
  • Other concomitant mid-facial bone fractures (ie, zygomaticomaxillary complex (ZMC), Lefort fractures)
  • Other etiologies than trauma of the mandibular fracture or pathologic fracture secondary to benign or malignant pathology that may require resection
  • Pregnant patients will NOT be excluded from the study
  • Co-morbidities (auto-immune disease, osteoporosis, titanium or metal allergy, uncontrolled diabetes (A1c greater than 8)

Sites / Locations

  • The University of Texas Health Science Center at HoustonRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Control Group

Treatment Group

Arm Description

Outcomes

Primary Outcome Measures

The time taken to complete an open reduction internal fixation (ORIF)

Secondary Outcome Measures

Number of participants with malocclusion
Number of participants with malocclusion
Number of participants with malocclusion
Number of participants with fractures that are not well aligned
Number of participants with fractures that are not well aligned
Number of participants with fractures that are not well aligned
Number of participants with infections
Number of participants with infections
Number of participants with infections

Full Information

First Posted
February 19, 2020
Last Updated
May 27, 2022
Sponsor
The University of Texas Health Science Center, Houston
Collaborators
Stryker Instruments
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1. Study Identification

Unique Protocol Identification Number
NCT04283981
Brief Title
Comparison of Operating Room Time Length With the Use of Virtual Surgical Planning Versus Conventional Treatment of Mandible Fractures
Official Title
Comparison of Operating Room Time Length With the Use of Virtual Surgical Planning Versus Conventional Treatment of Mandible Fractures
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Recruiting
Study Start Date
January 24, 2021 (Actual)
Primary Completion Date
June 2023 (Anticipated)
Study Completion Date
June 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
The University of Texas Health Science Center, Houston
Collaborators
Stryker Instruments

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this trial is to compare operating room time between conventional treatment techniques (without Virtual surgical Planning (VSP)) versus use of VSP and surgically-guided techniques and to compare and contrast the effect of any other variables that might have an effect on the overall result

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mandibular Fractures

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Control Group
Arm Type
Active Comparator
Arm Title
Treatment Group
Arm Type
Experimental
Intervention Type
Device
Intervention Name(s)
Control group without use of VSP
Intervention Description
The control group will include patients that undergo mandibular reconstruction via open reduction internal fixation (intraoral or extraoral approach) in standard fashion (without virtual surgical planning assistance and occlusal splint)
Intervention Type
Device
Intervention Name(s)
Treatment Group with use of VSP
Intervention Description
The treatment group corresponds to patients undergoing mandibular reconstruction via open reduction internal fixation (intraoral or extraoral approach) utilizing virtual surgical planning via 3D Systems, bite registration and fabrication of occlusal splint via intraoral digital scanner, and mandibular hardware
Primary Outcome Measure Information:
Title
The time taken to complete an open reduction internal fixation (ORIF)
Time Frame
End of dissection until final screws are placed,about 2-3 hours
Secondary Outcome Measure Information:
Title
Number of participants with malocclusion
Time Frame
1 week post surgery
Title
Number of participants with malocclusion
Time Frame
3 weeks post surgery
Title
Number of participants with malocclusion
Time Frame
6 weeks post surgery
Title
Number of participants with fractures that are not well aligned
Time Frame
1 week post surgery
Title
Number of participants with fractures that are not well aligned
Time Frame
3 weeks post surgery
Title
Number of participants with fractures that are not well aligned
Time Frame
6 weeks post surgery
Title
Number of participants with infections
Time Frame
1 week post surgery
Title
Number of participants with infections
Time Frame
3 weeks post surgery
Title
Number of participants with infections
Time Frame
6 weeks post surgery

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient consent Complex mandible fracture (at least two fractures) that require ORIF of at least one fracture. This will exclude condylar fractures Exclusion Criteria: Patient refusal to participate in study Infected mandible fracture Closed reduction treatment of mandible fracture Fractures older than 2-3 weeks at the time of treatment Other concomitant mid-facial bone fractures (ie, zygomaticomaxillary complex (ZMC), Lefort fractures) Other etiologies than trauma of the mandibular fracture or pathologic fracture secondary to benign or malignant pathology that may require resection Pregnant patients will NOT be excluded from the study Co-morbidities (auto-immune disease, osteoporosis, titanium or metal allergy, uncontrolled diabetes (A1c greater than 8)
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Timothy Woernley, DDS
Phone
(713) 486-4310
Email
Timothy.C.Woernley@uth.tmc.edu
First Name & Middle Initial & Last Name or Official Title & Degree
Nagi Demian
Phone
(713) 500-7833
Email
Nagi.Demian@uth.tmc.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Timothy Woernley, DDS
Organizational Affiliation
The University of Texas Health Science Center, Houston
Official's Role
Principal Investigator
Facility Information:
Facility Name
The University of Texas Health Science Center at Houston
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Timothy Woernley, DDS
Phone
713-486-4310
Email
Timothy.C.Woernley@uth.tmc.edu
First Name & Middle Initial & Last Name & Degree
Nagi Demian
Phone
(713) 500-7833
Email
Nagi.Demian@uth.tmc.edu

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Comparison of Operating Room Time Length With the Use of Virtual Surgical Planning Versus Conventional Treatment of Mandible Fractures

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