Pelvic Ring Fractures: New Analysis Method and Treatment Decision Algorithm

NCT04217499 | Completed

• 1 other identifier: BASSINJO
• Study Type: observational
• Target: 35
• Locations: 1 country
• Sites: 1

Brief Summary

Pelvic ring fractures are common and often the result of high energy trauma but also sometimes of lower energy trauma in older patients. A good classification and description of the fracture is essential to the choice of treatment. The classifications used to describe these fractures are numerous (Tile modified AO, Young and Burgess, Letournel, Rommens) and of a descriptive order more or less depending on the lesion mechanism allowing some to orient the surgical reduction technique. However, none of them helps with the choice of surgical or functional treatment, which is currently based on obvious notions of instability and / or displacement of lesions and, by habit, all different services. In addition, the complexity of these classifications leads to poor reproducibility of these. A new method for analyzing unitary lesions has been developed in the Orthopedic Surgery department of the Paris Saint-Joseph Hospital Group with a rating system which determines the indication according to the score. Teaching this new method of analyzing pelvic ring fractures would simplify decision making between surgical and functional treatment.

Conditions

Pelvic Fracture

Outcome Measures

Primary Outcomes (1)

• State of play of the decision for surgical sanction of pelvic ring fractures

  This corresponds to the number of patients for whom surgical decisions have been made.

  Day 1

Secondary Outcomes (2)

• Impact of the teaching of the new method of analysis on the surgical decision within each group

  Day 1

• Reproducibility of this intra and inter-group decision before and after teaching

  Day 1

Study Arms (1)

Patients with pelvic ring fractures

This retrospective study will be carried out on the data of patients who have received treatment or followed for a pelvic ring fracture, in the Orthopedic Surgery department of the Paris Saint-Joseph Hospital Group between January 2015 and September 2019.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients were hospitalized or consulted in the Orthopedic Surgery service of the Paris Saint-Joseph Hospital Group, for the management of a pelvic ring fracture from January 2015 until September 2019.

You may qualify if:

• Patient aged\> 18 years
• Patient treated or followed within the Orthopedic Surgery service of the GHPSJ for a pelvic ring fracture
• complete initial imaging patient record (scanner)
• French speaking patient

You may not qualify if:

• Patients under guardianship or curatorship
• Patients deprived of their liberty
• Patients objecting to the use of their data for this research
• Patient with isolated sacral or acetabular fracture
• Absence of scanner during the initial assessment

Sponsors & Collaborators

• Fondation Hôpital Saint-Joseph: lead

Study Sites (1)

Groupe Hospitalier Paris Saint-Joseph

Paris, 75014, France

Location

MeSH Terms

Conditions

Hip Fractures

Condition Hierarchy (Ancestors)

Femoral Fractures; Fractures, Bone; Wounds and Injuries; Hip Injuries; Leg Injuries

Study Officials

• Guillaume RIOUALLON, MD

  Fondation Hôpital Saint-Joseph

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 31, 2019
• First Posted: January 3, 2020
• Study Start: January 31, 2020
• Primary Completion: February 28, 2020
• Study Completion: April 26, 2022
• Last Updated: April 27, 2023

Record last verified: 2023-04

Locations

FR (1)