- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06806839
Early Weight Bearing in Distal Femur Fractures
January 28, 2025 updated by: Mohamed Tarek Mahmoud Ahmed, Assiut University
Early Weight Bearing in Distal Femoral Fractures, Dual Plating Versus Single Lateral Plating: a Randomized Controlled Study
Assessment of the effect of double plating and single lateral plating on early weight bearing as a primary outcome and improving union and decreasing complications as secondary outcomes.
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Estimated)
34
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: mohamed TM Ahmed, MBBCh
- Phone Number: +0201065442587
- Email: mohamed.16266135@med.aun.edu.eg
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- Skeletally mature patients.
- Distal femur fracture type A2, A3, C1, C2 by X-ray (Arbeitsgemeinschaft für Osteosynthesefragen classification).
- Injury Severity Score below 15.
- Controlled comorbidities.
- Fresh fractures: within 3 weeks of trauma.
Exclusion Criteria:
- Distal femur fractures type A1, B, C3 and A2 if there is a medial wedge.
- Open fracture grade 3 Gustilo Anderson Classification.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
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: Dual plating
Participants in this group will undergo dual plating fixation for distal femur fractures.
|
surgical fixation of the distal femur using two plates to enhance stability and fracture healing.
|
|
Active Comparator: single plating
Participants in this group will undergo single plate fixation for distal femur fractures.
|
surgical fixation of the distal femur using a single plate according to standard fixation protocols.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Sander's scale.
Time Frame: one year
|
A scale of 40 points with 0 as the minimum value and 40 as the maximum value.
A higher score means a better outcome.
The scale is used as a functional outcome following distal femur fractures fixation using questionaire about the pain, walking ability and return of work and using x rays to measure angulation in degrees and shortening in centimeters and examining the range of motion of the knee joint in degrees.
|
one year
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Myers P, Laboe P, Johnson KJ, Fredericks PD, Crichlow RJ, Maar DC, Weber TG. Patient Mortality in Geriatric Distal Femur Fractures. J Orthop Trauma. 2018 Mar;32(3):111-115. doi: 10.1097/BOT.0000000000001078.
- Larsen P, Ceccotti AA, Elsoe R. High mortality following distal femur fractures: a cohort study including three hundred and two distal femur fractures. Int Orthop. 2020 Jan;44(1):173-177. doi: 10.1007/s00264-019-04343-9. Epub 2019 May 12.
- Gangavalli AK, Nwachuku CO. Management of Distal Femur Fractures in Adults: An Overview of Options. Orthop Clin North Am. 2016 Jan;47(1):85-96. doi: 10.1016/j.ocl.2015.08.011.
- Elsoe R, Ceccotti AA, Larsen P. Population-based epidemiology and incidence of distal femur fractures. Int Orthop. 2018 Jan;42(1):191-196. doi: 10.1007/s00264-017-3665-1. Epub 2017 Nov 7.
- Mubark I, Abouelela A, Genena A, Al Ghunimat A, Sarhan I, Ashwood N. Mortality Following Distal Femur Fractures Versus Proximal Femur Fractures in Elderly Population: The Impact of Best Practice Tariff. Cureus. 2020 Sep 30;12(9):e10744. doi: 10.7759/cureus.10744.
- Merino-Rueda LR, Rubio-Saez I, Mills S, Rubio-Suarez JC. Mortality after distal femur fractures in the elderly. Injury. 2021 Jul;52 Suppl 4:S71-S75. doi: 10.1016/j.injury.2021.03.066. Epub 2021 May 5.
- Poole WEC, Wilson DGG, Guthrie HC, Bellringer SF, Freeman R, Guryel E, Nicol SG. 'Modern' distal femoral locking plates allow safe, early weight-bearing with a high rate of union and low rate of failure: five-year experience from a United Kingdom major trauma centre. Bone Joint J. 2017 Jul;99-B(7):951-957. doi: 10.1302/0301-620X.99B7.BJJ-2016-0585.R1.
- Schatzker J, Home G, Waddell J. The Toronto experience with the supracondylar fracture of the femur, 1966-72. Injury. 1974 Nov;6(2):113-28. doi: 10.1016/0020-1383(74)90005-9. No abstract available.
- Atalay IB, Ozturk R, Yapar A, Karakoc Y, Eksioglu MF. Outcomes of the Surgical Treatment of Periprosthetic Fractures Around the Knee with Locking Plates: A Single Centre Experience. Malays Orthop J. 2021 Nov;15(3):1-7. doi: 10.5704/MOJ.2111.001.
- Virk JS, Garg SK, Gupta P, Jangira V, Singh J, Rana S. Distal Femur Locking Plate: The Answer to All Distal Femoral Fractures. J Clin Diagn Res. 2016 Oct;10(10):RC01-RC05. doi: 10.7860/JCDR/2016/22071.8759. Epub 2016 Oct 1.
- Smith WR, Stoneback JW, Morgan SJ, Stahel PF. Is immediate weight bearing safe for periprosthetic distal femur fractures treated by locked plating? A feasibility study in 52 consecutive patients. Patient Saf Surg. 2016 Dec 7;10:26. doi: 10.1186/s13037-016-0114-9. eCollection 2016.
- Striano BM, Grisdela PT Jr, Shapira S, Heng M. Early Weight Bearing after Distal Femur Fracture Fixation. Geriatr Orthop Surg Rehabil. 2022 Jan 27;13:21514593211070128. doi: 10.1177/21514593211070128. eCollection 2022.
- Imam MA, Torieh A, Matthana A. Double plating of intra-articular multifragmentary C3-type distal femoral fractures through the anterior approach. Eur J Orthop Surg Traumatol. 2018 Jan;28(1):121-130. doi: 10.1007/s00590-017-2014-9. Epub 2017 Jul 14.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Estimated)
February 1, 2025
Primary Completion (Estimated)
February 1, 2027
Study Completion (Estimated)
March 1, 2027
Study Registration Dates
First Submitted
January 18, 2025
First Submitted That Met QC Criteria
January 28, 2025
First Posted (Actual)
March 25, 2025
Study Record Updates
Last Update Posted (Actual)
March 25, 2025
Last Update Submitted That Met QC Criteria
January 28, 2025
Last Verified
January 1, 2025
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Early weight-bearing.
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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 Distal Femur Fracture
-
University of FloridaRecruitingDistal Femur FractureUnited States
-
AO Innovation Translation CenterCompletedDistal Femur FractureUnited States, Switzerland
-
University of UtahEnrolling by invitation
-
Amr Gamaleldin Mahmoud Khalil GendyaCompletedGeriatrics | Distal Femur FractureEgypt
-
41medical AGAO Innovation Translation CenterActive, not recruitingPeriprosthetic Fractures | Intra-Articular Fractures | Distal Femur Fracture | Supracondylar FractureSwitzerland, Germany
-
Unity Health TorontoNYU Langone Health; Brigham and Women's Hospital; Oregon Health and Science University and other collaboratorsRecruiting
-
Töölö HospitalCompletedNonunion of Fracture | Femur Distal FractureFinland
-
Unity Health TorontoMount Sinai Hospital, CanadaRecruitingKnee Fracture | Distal Femur Fracture | Periprosthetic Fracture Around Prosthetic Joint Implant KneeCanada
-
Major Extremity Trauma Research ConsortiumUnited States Department of DefenseCompletedPilon Fracture | Tibial Plateau Fracture | Distal Femur Fracture | Distal Tibia FractureUnited States
-
London Health Sciences Centre Research Institute...Orthopaedic Trauma AssociationRecruitingDistal Femur FracturesCanada
Clinical Trials on dual plating
-
Sunnybrook Health Sciences CentreCanadian Orthopaedic Trauma SocietyRecruiting
-
Ain Shams UniversityEnrolling by invitationRandomized Controlled Trial | Forearm Fracture | Intramedullary Nail | Plate FixationEgypt
-
muhammed kılıçRecruitingAnkle Fractures | Lateral Malleolus Fracture | Posterior Malleolus FracturesTurkey (Türkiye)
-
Florida Orthopaedic InstituteTerminatedFractures of Radius and UlnaUnited States
-
Tanta UniversityCompletedAnterior Mandibular FractureEgypt
-
Sunnybrook Health Sciences CentreCompletedDistal Radius FractureCanada
-
Ain Shams UniversityActive, not recruitingEvaluation of QL Buttress Plating in QLP Fracture FixationEgypt
-
Luzerner KantonsspitalStryker SA; Kantonsspital Obwalden; Spital SchwyzNot yet recruiting
-
Goorens Chul KiRecruitingRadius Fracture DistalBelgium
-
University of OuluCompletedDistal Radius Fractures