NCT03494309

Brief Summary

Patients with mandibular sub-condylar fractures underwent either either open reduction with internal fixation (ORIF) or closed reduction with external fixation (CREF) and were followed up for 6 months to assess treatment adequacy with the hypothesis that ORIF is superior to CREF.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
70

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Nov 2014

Status
completed

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

November 1, 2014

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 15, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 15, 2015

Completed
2.4 years until next milestone

First Submitted

Initial submission to the registry

March 24, 2018

Completed
18 days until next milestone

First Posted

Study publicly available on registry

April 11, 2018

Completed
Last Updated

April 11, 2018

Status Verified

April 1, 2018

Enrollment Period

1 year

First QC Date

March 24, 2018

Last Update Submit

April 10, 2018

Conditions

Keywords

Mandibular Subcondylar FracturesMouth OpeningOpen Reduction and Internal FixationClosed Reduction with External Fixation

Outcome Measures

Primary Outcomes (2)

  • Mouth Opening

    Mouth Opening shall be determined by measuring the maximal distance between the edges of upper and lower incisors with fully opened mouth; the measurement shall be made in millimeters (mm) using vernier caliper and mouth opening of 35 mm or more shall be classified as "adequate"

    6 months

  • Occlusion

    Occlusion shall be determined by maximum "inter-cuspation" as observed by the surgeon and patient self-reporting and will be classified as fine or deranged.

    6 months

Secondary Outcomes (3)

  • Complications

    6 months

  • Cost-Effectiveness

    6 months

  • Patient Satisfaction

    6 months

Study Arms (2)

ORIF

EXPERIMENTAL

Open Reduction \& Internal Fixation

Procedure: Open Reduction & Internal Fixation

CREF

ACTIVE COMPARATOR

Closed Reduction \& External Fixation

Procedure: Closed Reduction & External Fixation

Interventions

Patients underwent surgery and the fractures were reduced under direct vision followed by internal fixation with titanium plates and screws

ORIF

Patients underwent closed reduction of the fracture and external fixation by arch bars \& guided elastics

CREF

Eligibility Criteria

Age16 Years - 60 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Age 16-60 years
  • Displaced Mandibular Subcondylar Fractures(MCFs) irrespective of multiple mandibular fractures.

You may not qualify if:

  • Bilateral MCFs
  • MCF with mid-facial fractures
  • Insufficient bilateral dentition
  • Medically unfit for surgery
  • Old healed mandibular fractures
  • History of previous mandibular surgery for the same indication

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Mandibular Fractures

Interventions

Open Fracture ReductionFracture Fixation, Internal

Condition Hierarchy (Ancestors)

Jaw FracturesMaxillofacial InjuriesFacial InjuriesCraniocerebral TraumaTrauma, Nervous SystemNervous System DiseasesSkull FracturesFractures, BoneWounds and Injuries

Intervention Hierarchy (Ancestors)

Fracture FixationOrthopedic ProceduresTherapeuticsSurgical Procedures, Operative

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor of Oral & Maxillofacial Surgery

Study Record Dates

First Submitted

March 24, 2018

First Posted

April 11, 2018

Study Start

November 1, 2014

Primary Completion

November 15, 2015

Study Completion

November 15, 2015

Last Updated

April 11, 2018

Record last verified: 2018-04