NCT05179005

Brief Summary

To confirm safety, performance, and clinical benefits for the use of RibFix Advantage™ in the fixation, stabilization, and fusion of rib fractures and osteotomies of normal and osteoporotic bone

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
1

participants targeted

Target at below P25 for all trials

Timeline
Completed

Started Apr 2023

Shorter than P25 for all trials

Geographic Reach
1 country

2 active sites

Status
terminated

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

First Submitted

Initial submission to the registry

November 30, 2021

Completed
1 month until next milestone

First Posted

Study publicly available on registry

January 5, 2022

Completed
1.3 years until next milestone

Study Start

First participant enrolled

April 20, 2023

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2023

Completed
Last Updated

January 29, 2024

Status Verified

January 1, 2024

Enrollment Period

9 months

First QC Date

November 30, 2021

Last Update Submit

January 25, 2024

Conditions

Outcome Measures

Primary Outcomes (1)

  • Rate of re-operation

    Number of subjects who needed surgical re-intervention related to rib fracture repair

    3 months post-op

Secondary Outcomes (1)

  • Length of stay in hospital

    Day 0 (surgery) to Day 7

Other Outcomes (2)

  • Overall quality of life

    Before surgery and 3 months post-op

  • Respiratory-related quality of life

    3 months post-op

Study Arms (1)

RibFix Advantage

Underwent surgical stabilization of rib fractures

Device: RibFix Advantage

Interventions

Intrathoracic rib fracture stabilization

RibFix Advantage

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Thoracic trauma comprises 20-25% of all traumas worldwide and constitutes the third most common cause of death after abdominal injury and head trauma in polytrauma patients. Thoracic trauma directly accounts for approximately 25% of trauma-related mortality and is a contributing factor in another 25% of such cases. The incidence of rib fractures due to trauma has been reported by various studies to range between 7 and 40%. There is no standard treatment for rib fractures, though there are several options. Failure to treat rib fracture pain can lead to reduced movement, cough suppression, and secondary infection. The conservative option for caring for a rib fracture involves the non-operative management of pain.

You may qualify if:

  • years of age, male or female
  • Underwent reconstruction of the chest wall between February 2019 and September 2021 with RibFix Advantage™ for the fixation, stabilization, or fusion of rib fractures
  • Minimum amount of follow-up data available, including one visit post-surgery
  • Willing and able to sign an Informed Consent for research
  • Willing and able to and complete a post-operative follow-up survey at least 3 months post-surgery

You may not qualify if:

  • Latent or active infection with positive culture at the time of implantation
  • Documented history of metal sensitivity
  • Documented psychiatric condition preventing the patient from following post-op care instructions
  • Fixation of the first and/or second (true) vertebrosternal rib
  • Bilateral rib fractures
  • Concurrent surgical procedures (i.e. splenectomy, aortic disruption repair, diaphragm injury repair, etc.) performed during the same hospitalization
  • Lung injury (open pneumothorax, tension pneumothorax, hemothorax \> 1L, pulmonary contusion requiring mechanical ventilation)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

UCI Health Surgery Services

Orange, California, 92868, United States

Location

University Hospitals Cleveland Medical Center

Cleveland, Ohio, 44106, United States

Location

Related Publications (4)

  • Tanaka H, Yukioka T, Yamaguti Y, Shimizu S, Goto H, Matsuda H, Shimazaki S. Surgical stabilization of internal pneumatic stabilization? A prospective randomized study of management of severe flail chest patients. J Trauma. 2002 Apr;52(4):727-32; discussion 732. doi: 10.1097/00005373-200204000-00020.

    PMID: 11956391BACKGROUND
  • Granetzny A, Abd El-Aal M, Emam E, Shalaby A, Boseila A. Surgical versus conservative treatment of flail chest. Evaluation of the pulmonary status. Interact Cardiovasc Thorac Surg. 2005 Dec;4(6):583-7. doi: 10.1510/icvts.2005.111807. Epub 2005 Sep 15.

    PMID: 17670487BACKGROUND
  • Nirula R, Allen B, Layman R, Falimirski ME, Somberg LB. Rib fracture stabilization in patients sustaining blunt chest injury. Am Surg. 2006 Apr;72(4):307-9. doi: 10.1177/000313480607200405.

    PMID: 16676852BACKGROUND
  • Campbell N, Conaglen P, Martin K, Antippa P. Surgical stabilization of rib fractures using Inion OTPS wraps--techniques and quality of life follow-up. J Trauma. 2009 Sep;67(3):596-601. doi: 10.1097/TA.0b013e3181ad8cb7.

    PMID: 19741406BACKGROUND

Related Links

MeSH Terms

Conditions

Rib Fractures

Condition Hierarchy (Ancestors)

Fractures, BoneWounds and InjuriesThoracic Injuries

Study Officials

  • Christopher W Towe, MD

    UH Seidman Cancer Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
OTHER
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 30, 2021

First Posted

January 5, 2022

Study Start

April 20, 2023

Primary Completion

December 31, 2023

Study Completion

December 31, 2023

Last Updated

January 29, 2024

Record last verified: 2024-01

Data Sharing

IPD Sharing
Will not share

Locations