Splinting Versus Not Splinting of the Distal Lower Extremity After Intramedullary Nailing for Tibial Fractures
A Randomized Trial of Post-Operative Outcomes: Splinting Versus Not Splinting of the Distal Lower Extremity After Intramedullary Nailing for Tibial Fractures
1 other identifier
interventional
20
1 country
1
Brief Summary
Two standards of care exist with regards to posterior splinting post-operatively. The proponents of splinting feel the additional immobilization decreases the stress on the soft tissue, subsequently preventing or limiting pain while improving early range of motion (ROM). The opposing belief is that the splinting is without therapeutic benefit and that early mobilization is beneficial. With regards to both practices, the surgeon's practice is anecdotally based on past experience. The purpose of this study is to compare the results obtained with and without posterior splinting after intramedullary (IM) nailing for tibia fractures in order to provide evidence based reasoning to guide future practice.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Aug 2007
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2007
CompletedFirst Submitted
Initial submission to the registry
April 23, 2009
CompletedFirst Posted
Study publicly available on registry
April 27, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2009
CompletedSeptember 29, 2010
September 1, 2010
2.3 years
April 23, 2009
September 28, 2010
Conditions
Outcome Measures
Primary Outcomes (1)
Differences across time and between groups for pain and range of motion
3 months
Study Arms (2)
1. Splinting
EXPERIMENTAL2. No Splinting
ACTIVE COMPARATORInterventions
Splint will applied post-operatively and will remain on for two weeks
Patient will be discharged post-operatively without a splint on their lower leg.
Eligibility Criteria
You may qualify if:
- Isolated tibia fracture that is open grade II or less and all closed tibia fractures that are amenable to treatment with an IM nail
You may not qualify if:
- Pregnant Women
- Prisoners
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Denver Health Medical Center
Denver, Colorado, 80204, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
April 23, 2009
First Posted
April 27, 2009
Study Start
August 1, 2007
Primary Completion
December 1, 2009
Study Completion
December 1, 2009
Last Updated
September 29, 2010
Record last verified: 2010-09