Outcome of Operative Management of Posterior Wall of Acetabulum Fracture

NCT06403124 | Completed

• 1 other identifier: 59.27.00.013.19.PG.09.2023/992
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

Background: Historically, acetabular fractures were treated conservatively which leading to long lasting morbidity like severe pain, limitation of movement and osteoarthritis. Now, evidence suggest surgery for all acetabular fractures for better outcome. Objectives: To evaluate the clinical and functional outcomes of open reduction and internal fixation of posterior wall of acetabulum fractures. Methods: This prospective clinical trial was conducted at Chittagong Medical College hospital, Chattogram, from January 2022 to February 2024. Sample size was 32 with fractures as per set criteria and was treated surgically. The outcome variables were functional (according to modified Merle D'Aubigne and Postel score) and radiological (according to Matta's grading). Evaluation was done at 6th weeks and at 03rd, 06th, 09th months. Detailed history, clinical examination, investigations, operative details, post-operative outcome and other parameters were documented. Data were collected in data collection form and were analyzed at the end of the study by using SPSS-25. P-value was considered as statistically significant when it was less than 0.05 and confidence interval was set at 95% level.

Conditions

Posterior Wall of Acetabulum Fracture

Keywords

Posterior wall of acetabulum, operative management

Outcome Measures

Primary Outcomes (1)

• Functional outcome

  Functional outcome by Modified Merle d'Aubigne-Postel Score, Highest score - 18, that means excellent outcome and lowest score - 03, that means poor outcome.

  09 months

Study Arms (1)

Patients with posterior wall of acetabulum fracture

EXPERIMENTAL

Procedure: Open reduction and internal fixation

Interventions

Open reduction and internal fixation PROCEDURE

Open reduction and internal fixation by reconstruction plate and screws

Patients with posterior wall of acetabulum fracture

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Posterior wall fracture with unstable hip joint
• Posterior wall fracture with posterior column or transverse fracture
• incarcerated osteochondral fragment
• Age more than 18 years and less than 60 years
• injury within 03 weeks.

You may not qualify if:

• open fracture
• associated other acetabular fracture

Sponsors & Collaborators

• Chittagong Medical College: lead

Study Sites (1)

Chittagong Medical College

Chittagong, 4203, Bangladesh

Location

MeSH Terms

Interventions

Open Fracture Reduction; Fracture Fixation, Internal

Intervention Hierarchy (Ancestors)

Fracture Fixation; Orthopedic Procedures; Therapeutics; Surgical Procedures, Operative

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Medical officer

Study Record Dates

• First Submitted: April 26, 2024
• First Posted: May 7, 2024
• Study Start: March 1, 2022
• Primary Completion: February 29, 2024
• Study Completion: February 29, 2024
• Last Updated: May 7, 2024

Record last verified: 2024-05

Data Sharing

• IPD Sharing: Will share

Locations

BA (1)