Conservative Treatment Compared to Osteosynthesis in Patients With a Fractured Collar Bone
Conservative Treatment Versus Plate Osteosynthesis Using Angular Stabile Screws and Precontoured Plates in Displaced Midshaft Clavicular Fractures. A Prospective Randomized Multicenter Study
1 other identifier
interventional
140
1 country
1
Brief Summary
This study will compare non-operative treatment of displaced midshaft collarbone fractures with operative treatment using a precontoured titanium plate and screws. The study hypothesis is that operation will provide better pain relief, faster return to activities, better function of the involved upper limb, and lower the risk of a non healing fracture (non union).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Apr 2010
Longer than P75 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
First Submitted
Initial submission to the registry
February 27, 2010
CompletedFirst Posted
Study publicly available on registry
March 2, 2010
CompletedStudy Start
First participant enrolled
April 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2015
CompletedJanuary 22, 2016
January 1, 2016
5.7 years
February 27, 2010
January 21, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Disabilities of the Arm, Shoulder and Hand (DASH) Score
The DASH Outcome Measure is a 30-item, self-report questionnaire designed to measure physical function and symptoms in people with any of several musculoskeletal disorders of the upper limb. The tool gives clinicians and researchers the advantage of having a single, reliable instrument that can be used to assess any or all joints in the upper extremity.
6 weeks, 3 months, 6 months, 1 year
Secondary Outcomes (1)
Constant-Murley Score
6 weeks, 3 months, 6 months, 1 year
Study Arms (2)
Arm sling treatment
EXPERIMENTALDisplaced midshaft fracture of the collar bone treated with an arm sling
Operation
EXPERIMENTALDisplaced midshaft fracture of the collar bone treated with operation using a pre contoured titanium plate and screws.
Interventions
Operation using a precontoured titanium plate and screws
Displaced midshaft fracture of the collar bone treated with an arm sling
Eligibility Criteria
You may qualify if:
- fracture located to the mid third of the collar bone where there is no contact between the fractured surface of the main fragments on x-ray in one or two of two levels.
You may not qualify if:
- bilateral fracture
- imminent skin perforation
- open fracture
- associated neurovascular effect
- unstable fracture of neck of scapula "floating shoulder"
- fracture of coincidental upper extremity distal for the shoulder
- pathologic fracture
- the patient states that there was a unilateral or bilateral shoulder problem before the fracture
- fracture realized more than 14 days after it arose
- circumstances which make it impossible to carry out one of the two regimes, i.e. mental illness and abuse
- circumstances which make follow-up impossible, i.e. address far from the including departments and stays abroad of long duration
- medical contraindication against surgery or general anaesthesia
- former participation in the trial
- former fracture contra/ipsilateral at the age of 15 or older
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Northern Orthopaedic Division, Denmarklead
- Central Jutland Regional Hospitalcollaborator
- Vejle Hospitalcollaborator
- Randers Regional Hospitalcollaborator
- Swemac Orthopaedics ApScollaborator
Study Sites (1)
Orthopaedic Division, Randers Hospital
Randers, Central Jutland, 8930, Denmark
Related Publications (1)
Qvist AH, Vaesel MT, Jensen CM, Jakobsen T, Jensen SL. Minimal Pain Decrease Between 2 and 4 Weeks After Nonoperative Management of a Displaced Midshaft Clavicle Fracture Is Associated with a High Risk of Symptomatic Nonunion. Clin Orthop Relat Res. 2021 Jan 1;479(1):129-138. doi: 10.1097/CORR.0000000000001411.
PMID: 32675585DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Carsten M Jensen, M.D.Sci.
Orthopaedic Division, Central Jutland, Randers Hospital, Denmark
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 27, 2010
First Posted
March 2, 2010
Study Start
April 1, 2010
Primary Completion
December 1, 2015
Study Completion
December 1, 2015
Last Updated
January 22, 2016
Record last verified: 2016-01