- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07828808
Functional and Radiological Outcomes of Pediatric Acetabular Fracture Management
Study Overview
Status
Conditions
Detailed Description
Pediatric acetabular fractures are rare injuries and represent a challenging subset of pediatric pelvic trauma [1,2,3,5,6,15]. Although uncommon, they are clinically important because they are usually related to high-energy trauma and may be associated with systemic or musculoskeletal injuries [2,3,5]. Their management differs from adult acetabular fractures because treatment decisions must consider fracture displacement, hip stability, articular congruity, and the potential effect on the triradiate cartilage and future acetabular development [5,7,13].
Radiological assessment using plain radiographs and computed tomography is essential for diagnosis, classification, treatment planning, and follow-up [3,5,6]. In selected cases, magnetic resonance imaging may provide additional information, particularly in younger children with open triradiate cartilage or a large cartilaginous acetabular component [7].
Stable, nondisplaced, or minimally displaced fractures are usually treated non-operatively, while unstable, incongruent, or significantly displaced fractures may require surgical fixation [3-5,8].
Because of the rarity of pediatric acetabular fractures, the available evidence remains limited, with most published studies being retrospective series or reviews [2-6]. Therefore, prospective evaluation of radiological and functional outcomes is needed to better understand fracture healing, hip development, complications, and functional recovery after these injuries [2,4-6] and propose a guide or algorithm for management.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Abdelrahman abdelaziz Abdelrahman Abdelaziz Khalaf Mohamed
- Phone Number: 01096836732
- Email: abdelrhman.2950@med.aun.edu.eg
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Age ≤ 16 years
- Radiologically confirmed acetabular fracture
Exclusion Criteria:
- Non-traumatic or pathological fractures
- Prior hip deformity
- Prior hip surgery
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
|---|
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pediatrics with acetabular fracture
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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a. Primary (main): Functional Outcome 1. Modified Harris Hip Score.
Time Frame: 12 months
|
12 months
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Radiological Outcome Matta's Radiological Criteria
Time Frame: 12 months
|
12 months
|
Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- JUDET R, JUDET J, LETOURNEL E. FRACTURES OF THE ACETABULUM: CLASSIFICATION AND SURGICAL APPROACHES FOR OPEN REDUCTION. PRELIMINARY REPORT. J Bone Joint Surg Am. 1964 Dec;46:1615-46. No abstract available.
- McDonnell M, Schachter AK, Phillips DP, Liporace FA. Acetabular fracture through the triradiate cartilage after low-energy trauma. J Orthop Trauma. 2007 Aug;21(7):495-8. doi: 10.1097/BOT.0b013e31812f67ff.
- Sadhwani S, Omslaer B, Dalton J, Sweeney B, Olgun ZD. Magnetic Resonance Imaging in Pediatric Acetabulum Fractures with Open Triradiate Cartilage-A Report of 3 Cases. J Am Acad Orthop Surg Glob Res Rev. 2024 Mar 5;8(3):e23.00233. doi: 10.5435/JAAOSGlobal-D-23-00233. eCollection 2024 Mar 1.
- Mennen AHM, Zonneveld I, Bloemers FW, van Embden D. Critical review of the classification and treatment of pediatric pelvic fractures. Injury. 2022 Oct;53(10):3301-3309. doi: 10.1016/j.injury.2022.07.009. Epub 2022 Jul 7.
- Kruppa CG, Sietsema DL, Khoriaty JD, Dudda M, Schildhauer TA, Jones CB. Acetabular Fractures in Children and Adolescents: Comparison of Isolated Acetabular Fractures and Acetabular Fractures Associated With Pelvic Ring Injuries. J Orthop Trauma. 2018 Feb;32(2):e39-e45. doi: 10.1097/BOT.0000000000001039.
- von Heyden J, Hauschild O, Strohm PC, Stuby F, Sudkamp NP, Schmal H. Paediatric acetabular fractures. Data from the German Pelvic Trauma Registry Initiative. Acta Orthop Belg. 2012 Oct;78(5):611-8.
- Bucholz RW, Ezaki M, Ogden JA. Injury to the acetabular triradiate physeal cartilage. J Bone Joint Surg Am. 1982 Apr;64(4):600-9.
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- Pediatric Acetabular Fracture
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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