- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01714999
Treatment of Acute Traumatic Laceration of the Olecranon and Prepatellar Bursa
A Prospective Evaluation of the Current Treatment Regime for Acute Traumatic Laceration of the Olecranon and Prepatellar Bursa
Following a recent publication by the authors [1], there is no standardized treatment regime for the treatment of lacerations of the olecranon or prepatellar bursa, although primary bursectomy seems to be the most common treatment regime in Germany, Austria and Switzerland. The aim of this study is to prospectively follow patients who suffered from an acute traumatic laceration of the OB or PB treated, according to the local standards, either by bursectomy (Vie, AT) or bursal reconstruction and direct wound closure (Muc, GER).
[1] Baumbach et al. Evaluation of the current treatment concepts in Germany, Austria and Switzerland for acute traumatic lesions to the prepatellar and olecranon bursa. Injury (2012)
Study Overview
Status
Intervention / Treatment
Detailed Description
A fall onto the elbow or knee often results in a laceration of the olecranon (OB) and prepatellar bursa (PB), due to their exposed and superficial location. Although a common injury, the authors are not aware of any study dealing with this entity. In order to get a first idea on the treatment concepts currently used, the authors conducted a international online survey among orthopaedic and trauma surgeons in Germany, Austria and Switzerland [1]. The primary treatment approach of more than 70% of Austrian and German surgeons was bursectomy and immobilization, which was performed by less than 50% of Swiss physicians.
At the Departments of Trauma Surgery of the Medical University of Vienna and of the Medical University of Munich, two opposing treatment concepts are being practised. Whereas in Vienna a bursectomy is performed in case of traumatic laceration of the OB and PB, a primary bursal reconstruction is performed at the Medical University of Munich.
The aim of this study is to prospectively follow patients who suffered from an acute traumatic laceration of the OB or PB treated, according to the local standards, either by bursectomy (Vie, AT) or bursal reconstruction and direct wound closure (Muc, GER).
The Hypothesis of this study is, that there is no difference with respect to complications between bursectomy and bursal reconstruction in case of acute traumatic laceration of the OB and PB.
1. Baumbach et al. Evaluation of the current treatment concepts in Germany, Austria and Switzerland for acute traumatic lesions to the prepatellar and olecranon bursa. Injury (2012)
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Sebastian F Baumbach, M.D.
- Email: sebastian.baumbach@med.uni-muenchen.de
Study Locations
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Vienna, Austria, 1090
- Recruiting
- Department of Trauma Surgery, Medical University of Vienna
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Contact:
- Florian Domaszewski, M.D.
- Email: florian.domaszewski@meduniwien.ac.at
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Principal Investigator:
- Florian Domaszewski, M.D.
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Munich, Germany, 80336
- Recruiting
- Department of Trauma Surgery, Medical University of Munich
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Contact:
- Sebastian F. Baumbach, M.D.
- Email: sebastian.baumbach@med.uni-muenchen.de
-
Principal Investigator:
- Sebastian F. Baumbach, M.D.
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Acute lacerations of the OB or PB (<12h)
- Age 18 - 60 years
- Patient can read and understand German
Exclusion Criteria:
- Immunodeficient patients
- Severe dementia
- Chronic alcoholism
- Conditions affecting the neuromuscular- or musculoskeletal system
- Previous surgical interventions at the same joint
- Conditions affecting wound healing (including chronic alcoholism, insulin dependent diabetes
- Neurological diseases
- Patient is not available for follow-up visits
- Patient suspected to be non-compliant
- No major concomitant injuries
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Bursectomy: Vienna
At the Department of Trauma Surgery, Medical University of Vienna, bursectomy is considered the gold standard in case of traumatic laceration of the OB or PB bursa.
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Bursectomy of the OB and PB are performed in the operation theatre under sterile conditions.
In case of a laceration of the OB a leash, in case of PB a redon drainage (Charr.
10) is inserted.
After application of a sterile bandage a cast is applied in both cases.
Patient will receive AB for 5 days, the affected limb will be immobilized until removal of the stiches after 12-14 days.
Other Names:
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Experimental: Bursal reconstruction: Munich
At the Department of Trauma Surgery, Medical University of Munich, the treatment regime is a primary bursa-preserving therapy.
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The bursal laceration is treated within in ER setting.
The wound is cleaned and thoroughly washed, if needed the wound margins are excised.
The wound is then closed using simple suture and a plaster applied and removed 5 days later.
Antibiotics are be administered for 5 days
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Wound infection
Time Frame: 6 weeks
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6 weeks
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Bursitis
Time Frame: 12 month
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12 month
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Other Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Treatment costs of a standard patient
Time Frame: 6 weeks / 12 month
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6 weeks / 12 month
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Collaborators and Investigators
Investigators
- Principal Investigator: Sebastian F Baumbach, MD, Ludwig-Maximilians - University of Munich
- Principal Investigator: Vikoria Bogner, MD, Ludwig-Maximilians - University of Munich
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 415-12
- 1692/2012 (Other Identifier: Ethics commission Medical University of Vienna)
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.
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