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Evaluate Clinical and Radiological Outcomes After Limb Reconstruction Using Monorail Fixator Over Intramedullary Nailing in Tibial Open Fractures With Bone Loss

Primary Purpose

Open Fracture Tibia

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
intramedullary nail with Limb Reconstruction System
Sponsored by
Assiut University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Open Fracture Tibia

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Age from 18-60 years old.
  • Open Grade II, Open Grade III (a & b) diaphyseal fractures of Tibia (judged after primary and/or secondary to debridement).
  • Bone defect < 10 cm.
  • Patients with Injury severity score (ISS) < 17.

Exclusion Criteria:

  • Massive bone defect > 10 cm.
  • Patients with ISS > 17, polytrauma patient.
  • Age < 18 years old or > 60 years old.
  • Associated vascular injury ischemic limb.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Other

    Arm Label

    Participants

    Arm Description

    patients undergoes intramedullary nail with Limb Reconstruction System

    Outcomes

    Primary Outcome Measures

    ASAMI Scoring System
    excellent : active , no limping good : active with one or more of : limp , stiffness , significant pain Fair : active with at least three of the following : limping , stiffness , significant pain , reflex sympathetic syndrome Poor : Inactive Failures : Amputations

    Secondary Outcome Measures

    Full Information

    First Posted
    February 28, 2022
    Last Updated
    March 27, 2022
    Sponsor
    Assiut University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05296785
    Brief Title
    Evaluate Clinical and Radiological Outcomes After Limb Reconstruction Using Monorail Fixator Over Intramedullary Nailing in Tibial Open Fractures With Bone Loss
    Official Title
    Management of Open Tibial Fractures With Bone Loss Using Monorail Fixator Over Intramedullary Nail
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    April 1, 2022 (Anticipated)
    Primary Completion Date
    April 1, 2024 (Anticipated)
    Study Completion Date
    February 1, 2025 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Assiut University

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    Road traffic accidents (RTA) is the most common cause of open fractures of long bones, increase in RTA leading to increase of complex non-unions incidence. the Participants are usually undergoing multiple surgeries for healing or to eradicate infection, which in turn leading to loss of bone and soft tissues and require skin grafting, muscle pedicle graft or bone grafting. Sometimes the Participants end up with deformity, limb length discrepancy, joints stiffness, disuse osteoporosis and muscle atrophy after management

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Open Fracture Tibia

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    20 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Participants
    Arm Type
    Other
    Arm Description
    patients undergoes intramedullary nail with Limb Reconstruction System
    Intervention Type
    Procedure
    Intervention Name(s)
    intramedullary nail with Limb Reconstruction System
    Intervention Description
    bone transport by Limb Reconstruction System over intramedullary nail on fracture tibia
    Primary Outcome Measure Information:
    Title
    ASAMI Scoring System
    Description
    excellent : active , no limping good : active with one or more of : limp , stiffness , significant pain Fair : active with at least three of the following : limping , stiffness , significant pain , reflex sympathetic syndrome Poor : Inactive Failures : Amputations
    Time Frame
    1 year

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Age from 18-60 years old. Open Grade II, Open Grade III (a & b) diaphyseal fractures of Tibia (judged after primary and/or secondary to debridement). Bone defect < 10 cm. Patients with Injury severity score (ISS) < 17. Exclusion Criteria: Massive bone defect > 10 cm. Patients with ISS > 17, polytrauma patient. Age < 18 years old or > 60 years old. Associated vascular injury ischemic limb.

    12. IPD Sharing Statement

    Learn more about this trial

    Evaluate Clinical and Radiological Outcomes After Limb Reconstruction Using Monorail Fixator Over Intramedullary Nailing in Tibial Open Fractures With Bone Loss

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