Orthopaedic Conservative Treatment in the Time of Covid-19 Pandemic
1 other identifier
observational
262
1 country
1
Brief Summary
This is a one centered retrospective study. Tendency for surgical interventions in the pre-pandemic period was reduced to protect surgical team and patients. The investigators aimed to find out the answer to the following question: will conservative treatment be the shining star in the post pandemic period?
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Mar 2020
Shorter than P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 11, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2020
CompletedFirst Submitted
Initial submission to the registry
November 7, 2020
CompletedFirst Posted
Study publicly available on registry
November 10, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2020
CompletedNovember 16, 2020
November 1, 2020
8 months
November 7, 2020
November 12, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Comparison of the two groups in terms of bony union
The investigators aimed to investigate the duration of bone union time between two groups
12 week
Study Arms (6)
Weber B-type Ankle fractures in prepandemic period
Patients with AO Weber B-type ankle fracture in prepandemic period
Weber B-type Ankle fractures in pandemic period
Patients with AO Weber B-type ankle fracture in pandemic period
Wrist fractures in prepandemic period
Patients with extraarticular distal radius fracture in prepandemic period
Wrist fractures in pandemic period
Patients with extraarticular distal radius fracture in pandemic period
Proximal humerus fractures in prepandemic period
Patients with 2-part,3-part and 4-part fractures in prepandemic period
Proximal humerus fractures in pandemic period
Patients with 2-part,3-part and 4-part fractures in pandemic period
Interventions
Patients with Weber B-type Ankle fractures, extraarticular wrist fractures and proximal humerus fractures were followed with conservative manner( cast or sling)
Eligibility Criteria
Patients who admitted to emergency orthopedics department between March 11, 2020 and August 11, 2020
You may qualify if:
- Patients with extraarticular distal radius fracture, proximal humerus fracture and Weber type B ankle fracture were treated conservatively during March 11, 2020 and 11 August, 2020
You may not qualify if:
- Surgically treated patients during March 11, 2020 and 11 August, 2020
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
SBU Prof. Cemil Tascioglu City Hospital
Istanbul, 34040, Turkey (Türkiye)
Related Publications (20)
Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, Zhang L, Fan G, Xu J, Gu X, Cheng Z, Yu T, Xia J, Wei Y, Wu W, Xie X, Yin W, Li H, Liu M, Xiao Y, Gao H, Guo L, Xie J, Wang G, Jiang R, Gao Z, Jin Q, Wang J, Cao B. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020 Feb 15;395(10223):497-506. doi: 10.1016/S0140-6736(20)30183-5. Epub 2020 Jan 24.
PMID: 31986264BACKGROUNDZhu N, Zhang D, Wang W, Li X, Yang B, Song J, Zhao X, Huang B, Shi W, Lu R, Niu P, Zhan F, Ma X, Wang D, Xu W, Wu G, Gao GF, Tan W; China Novel Coronavirus Investigating and Research Team. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020 Feb 20;382(8):727-733. doi: 10.1056/NEJMoa2001017. Epub 2020 Jan 24.
PMID: 31978945BACKGROUNDHolshue ML, DeBolt C, Lindquist S, Lofy KH, Wiesman J, Bruce H, Spitters C, Ericson K, Wilkerson S, Tural A, Diaz G, Cohn A, Fox L, Patel A, Gerber SI, Kim L, Tong S, Lu X, Lindstrom S, Pallansch MA, Weldon WC, Biggs HM, Uyeki TM, Pillai SK; Washington State 2019-nCoV Case Investigation Team. First Case of 2019 Novel Coronavirus in the United States. N Engl J Med. 2020 Mar 5;382(10):929-936. doi: 10.1056/NEJMoa2001191. Epub 2020 Jan 31.
PMID: 32004427BACKGROUNDChen YC, Lin WC. Risk of long-term infection-related death in clinical osteoporotic vertebral fractures: A hospital-based analysis. PLoS One. 2017 Aug 9;12(8):e0182614. doi: 10.1371/journal.pone.0182614. eCollection 2017.
PMID: 28793342BACKGROUNDMi B, Xiong Y, Lin Z, Panayi AC, Chen L, Liu G. COVID-19 Orthopaedic Safe Care Toolset: Guidelines for the Diagnosis and Management of Patients with Fracture and COVID-19. J Bone Joint Surg Am. 2020 Jul 1;102(13):1116-1122. doi: 10.2106/JBJS.20.00532.
PMID: 32618909BACKGROUNDGuo X, Wang J, Hu D, Wu L, Gu L, Wang Y, Zhao J, Zeng L, Zhang J, Wu Y. Survey of COVID-19 Disease Among Orthopaedic Surgeons in Wuhan, People's Republic of China. J Bone Joint Surg Am. 2020 May 20;102(10):847-854. doi: 10.2106/JBJS.20.00417.
PMID: 32271208BACKGROUNDSaxena A, Bullock M, Danoff JR, Rodd DS, Fischer SJ, Stronach BM, Levine BR. Educating Surgeons to Educate Patients About the COVID-19 Pandemic. J Arthroplasty. 2020 Jul;35(7S):S65-S67. doi: 10.1016/j.arth.2020.04.037. Epub 2020 Apr 18.
PMID: 32340829BACKGROUNDLei S, Jiang F, Su W, Chen C, Chen J, Mei W, Zhan LY, Jia Y, Zhang L, Liu D, Xia ZY, Xia Z. Clinical characteristics and outcomes of patients undergoing surgeries during the incubation period of COVID-19 infection. EClinicalMedicine. 2020 Apr 5;21:100331. doi: 10.1016/j.eclinm.2020.100331. eCollection 2020 Apr.
PMID: 32292899BACKGROUNDHandoll HH, Keding A, Corbacho B, Brealey SD, Hewitt C, Rangan A. Five-year follow-up results of the PROFHER trial comparing operative and non-operative treatment of adults with a displaced fracture of the proximal humerus. Bone Joint J. 2017 Mar;99-B(3):383-392. doi: 10.1302/0301-620X.99B3.BJJ-2016-1028.
PMID: 28249980BACKGROUNDOrman S, Mohamadi A, Serino J, Murphy J, Hanna P, Weaver MJ, Dyer G, Nazarian A, von Keudell A. Comparison of surgical and non-surgical treatments for 3- and 4-part proximal humerus fractures: A network meta-analysis. Shoulder Elbow. 2020 Apr;12(2):99-108. doi: 10.1177/1758573219831506. Epub 2019 Feb 28.
PMID: 32313559BACKGROUNDMaier D, Jaeger M, Izadpanah K, Strohm PC, Suedkamp NP. Proximal humeral fracture treatment in adults. J Bone Joint Surg Am. 2014 Feb 5;96(3):251-61. doi: 10.2106/JBJS.L.01293.
PMID: 24500588BACKGROUNDHertel R, Hempfing A, Stiehler M, Leunig M. Predictors of humeral head ischemia after intracapsular fracture of the proximal humerus. J Shoulder Elbow Surg. 2004 Jul-Aug;13(4):427-33. doi: 10.1016/j.jse.2004.01.034.
PMID: 15220884BACKGROUNDMurray IR, Amin AK, White TO, Robinson CM. Proximal humeral fractures: current concepts in classification, treatment and outcomes. J Bone Joint Surg Br. 2011 Jan;93(1):1-11. doi: 10.1302/0301-620X.93B1.25702.
PMID: 21196536BACKGROUNDMartin AG. Weber B ankle fracture: an unnecessary fracture clinic burden. Injury. 2004 Aug;35(8):805-8. doi: 10.1016/j.injury.2003.12.013.
PMID: 15246805BACKGROUNDMittal R, Harris IA, Adie S, Naylor JM; CROSSBAT Study Group. Surgery for Type B Ankle Fracture Treatment: a Combined Randomised and Observational Study (CROSSBAT). BMJ Open. 2017 Mar 27;7(3):e013298. doi: 10.1136/bmjopen-2016-013298.
PMID: 28348185BACKGROUNDVan Schie-Van der Weert EM, Van Lieshout EM, De Vries MR, Van der Elst M, Schepers T. Determinants of outcome in operatively and non-operatively treated Weber-B ankle fractures. Arch Orthop Trauma Surg. 2012 Feb;132(2):257-63. doi: 10.1007/s00402-011-1397-z. Epub 2011 Sep 30.
PMID: 21959696BACKGROUNDYoung BT, Rayan GM. Outcome following nonoperative treatment of displaced distal radius fractures in low-demand patients older than 60 years. J Hand Surg Am. 2000 Jan;25(1):19-28. doi: 10.1053/jhsu.2000.jhsu025a0019.
PMID: 10642469BACKGROUNDChang HC, Tay SC, Chan BK, Low CO. Conservative treatment of redisplaced Colles' fractures in elderly patients older than 60 years old - anatomical and functional outcome. Hand Surg. 2001 Dec;6(2):137-44. doi: 10.1142/s0218810401000606.
PMID: 11901459BACKGROUNDFujii K, Henmi T, Kanematsu Y, Mishiro T, Sakai T, Terai T. Fractures of the distal end of radius in elderly patients: a comparative study of anatomical and functional results. J Orthop Surg (Hong Kong). 2002 Jun;10(1):9-15. doi: 10.1177/230949900201000103.
PMID: 12401915BACKGROUNDAnzarut A, Johnson JA, Rowe BH, Lambert RG, Blitz S, Majumdar SR. Radiologic and patient-reported functional outcomes in an elderly cohort with conservatively treated distal radius fractures. J Hand Surg Am. 2004 Nov;29(6):1121-7. doi: 10.1016/j.jhsa.2004.07.002.
PMID: 15576226BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Orthopedics and Traumatology specialist
Study Record Dates
First Submitted
November 7, 2020
First Posted
November 10, 2020
Study Start
March 11, 2020
Primary Completion
November 1, 2020
Study Completion
December 1, 2020
Last Updated
November 16, 2020
Record last verified: 2020-11