Rim Plate to Buttress Plate for Posterior Wall Acetabular Fractures With and Without Inter-fragme… (NCT06409559) | Clinical Trial Compass
RecruitingNot Applicable
Rim Plate to Buttress Plate for Posterior Wall Acetabular Fractures With and Without Inter-fragmentary Screws
United States60 participantsStarted 2023-08-01
Plain-language summary
The hypothesis of this study is that the Rim Plate method utilizing interfragmentary screws placed through the plate will result in superior fixation, a lower rate of loss of reduction of the fracture fragment, better anatomic healing of the articular (joint) surface, a decreased rate of early post-traumatic arthritic changes of the joint (cartilage) surface, and improved functional outcomes.
Who can participate
Age range18 Years
SexALL
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Inclusion criteria
✓. Skeletally mature males and females, ≥ 18 years old and with age less than 65 years.
✓. Fracture of the acetabular posterior wall fracture due to acute traumatic hip dislocation, confirmed with anteroposterior pelvic or hip radiographs, and CT scan
✓. Operative fixation of fractures within 14 days of presenting to the emergency room.
✓. Patient was ambulatory prior to fracture, with or without walking aids
✓. Medically optimized for operative intervention
✓. Provision of informed consent by patient or legal guardian.
Exclusion criteria
✕. Patients not suitable for internal fixation (severe osteoarthritis, rheumatoid arthritis, or pathologic fracture).
✕. Pre-existing orthopedic fixation, implant, or prosthesis around the affected acetabulum.
✕. Patients with metabolic bone disease including diagnosis of osteoporosis.
✕. Patients with bony or soft tissue infections around the acetabulum.
✕. Patients unable to provide informed consent.
✕. Patients having other fractures of Pelvis or acetabulum other than an isolated posterior acetabular wall fracture.
✕
What they're measuring
1
Displacement of posterior wall acetabular fragment
. Patients with previous history of acetabular fracture (operative or nonoperative)
✕. Patients with previous history of hip pathology such as avascular necrosis, hip dysplasia, Legg-Calve Perthes Disease, or advanced degenerative arthritis.