- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01238523
Study of Tibial Shaft Fractures in Children
Early Weight-Bearing in the Closed Treatment of Tibial Shaft Fractures in Children
Tibial shaft fracture is one of the most common fractures in children and adolescents. It encompasses approximately 15 % of all long-bone fractures and is third behind only fractures of the femur and both bones of the forearm. (2). Although most authorities agree that closed tibial shaft fractures are best treated by immobilization in a long-leg cast, there is no clear consensus as to when to allow weight bearing on the injured extremity. While most recent articles have recommended long-leg casts with the knee bent in flexion of 30-60 degrees to preclude weight-bearing(1,2,3,4), other authors have recommended much less flexion, 0-5 degrees, to encourage early weight bearing.(5).
The purpose of this randomized controlled prospective study is to determine if the position of immobilization of the knee influences the rate of healing, delayed union, and nonunion As well, we will assess if the type of immobilization affects the function of the patient during the period of treatment using the Activities Scale for Kids - Performance (ASK-P) child self-report musculoskeletal outcome measure . A minimum of 36 patients in each group for a total of 72 patients between 4 and 14 years of age (open physis) with closed fractures of the tibia, with or without fracture of the fibula, will be included in the study
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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California
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Los Angeles, California, United States, 90007
- Los Angeles Orthopaedic Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients between 4 and 14 years of age (open physis)
- Patients seen at the Los Angeles Orthopaedic Medical center within 7 days of the original injury
- All closed tibia and tibia and fibula shaft fractures regardless of fracture pattern
Exclusion Criteria:
- Fractures with greater than 2 cm of initial shortening
- Open fractures
- Patients that have other orthopaedic medical issues such as hemophilia
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Long leg cast in full extension
Long leg cast in full extension with instructions to begin immediate weight bearing as tolerated on the injured extremity
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Long leg cast in full extension with instructions to begin immediate weight bearing as tolerated on the injured extremity
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Experimental: Long leg cast with 45 degrees of flexion
Long leg cast with 45 degrees of flexion at the knee with instructions not to bear weight on the injured extremity
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Long leg cast with 45 degrees of flexion at the knee with instructions not to bear weight on the injured extremity
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The Activities Scale for Kids - Performance (ASK-P)
Time Frame: May 2007 - May 2010
|
The Activities Scale for Kids (ASK) is a 30 item child self-report musculoskeletal outcome measure that focuses on the child's physical disability, and is scored with a summary score with no sub-scales.
The performance format ASK-P will be used in this study.
The scoring system is from 0-100 with 100 being the best possible score.
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May 2007 - May 2010
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Time to Healing
Time Frame: May 2007 - May 2010
|
Radiographic union will be defined as the presence of callus bridging of 3 out of 4 cortices as seen on anterior posterior and lateral radiographs.
|
May 2007 - May 2010
|
Collaborators and Investigators
Collaborators
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- OH-001
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Tibial Shaft Fractures in Children
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University of Alabama at BirminghamCarbo-Fix OrthopaedicsTerminated
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NYU Langone HealthNot yet recruitingFemoral Shaft Fracture | Tibial Shaft FractureUnited States
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Sohag UniversityRecruiting
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Aalborg University HospitalDanish Council for Independent ResearchActive, not recruitingIntramedullary Nailing vs External Ring Fixation for the Treatment of Tibial Shaft Fractures (IMVEX)Tibial Shaft FractureDenmark
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Isfahan University of Medical SciencesCompletedTibial Shaft FractureIran, Islamic Republic of
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University of WashingtonTerminated
-
Assiut UniversityRecruitingOpen Type III (A&B)Pediatric and Adolescent Tibial Shaft Fractures | Ilizarov FixationEgypt
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District Headquarters Teaching Hospital SahiwalCompletedTransverse Fracture of Shaft of TibiaPakistan
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University of UtahEnrolling by invitationTibial Shaft Fracture | Tibial Plateau FractureUnited States
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University of Kansas Medical CenterNot yet recruitingFemoral Neck Fractures | Distal Radius Fractures | Femoral Shaft Fracture | Intertrochanteric Fractures | Patella Fracture | Lisfranc Injuries | Distal Femur Fracture | Calcaneus Fractures | Clavicle Fractures | Proximal Humerus Fractures | Tibial Shaft Fracture With or Without Associated Fibula Fracture | Ankle... and other conditionsUnited States
Clinical Trials on Long leg cast in full extension
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Hallym University Kangnam Sacred Heart HospitalUnknownTreatment | Metatarsal FractureKorea, Republic of
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University of British ColumbiaQueensland Children's Hospital, South BrisbaneRecruiting