Implant System for Fixation of Cranial Bone Flaps After Craniotomy for Brain Surgery

NCT ID: NCT00797979

Last Updated: 2012-11-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

16 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-10-31

Study Completion Date

2010-07-31

Brief Summary

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Bone flaps after craniotomy are typically fixed with suture material, mini plates and others devices. In some cases, fixation with suture material is not secure as it may result in shifting of the bone flap with its dislocation. We will test the safety and efficacy of SKULL GRIP a new device for fixation of the bone flap during cranial procedure comparing to traditional suture materials.

Detailed Description

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At the end of the operation to start the fixation of cranial bone flaps, at least three Skull Grip titanium clamps will be positioned equidistant to one another along the craniotomy opening. The lower parts (complete circle) will be inserted between the dura and the cranium. The linear parts of the superior semicircle have to be in line with the craniotomy borders to allow the lodging of the bone flap. The different heights of the device are finalized to suit it for the different thickness of the cranial vault. The same procedure will be performed with all remaining Skull Grip titanium clamps.The bone flap will be then placed in its original position. By using a forceps, a simple and easy clockwise rotation of the superior semicircle will allow to block the SKULL GRIP clamp in place. For simple removal if necessary of the Skull Grip titanium clamps, even if bone ossification of the craniotomy edges has already occurred, it will be necessary just to lift up the superior semicircle of the Skull Grip by a forceps and to cut by a cutting forceps the pin between the two circle. Then, craniotomy could be completed in a standard way.

Conditions

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Skull Fixation After Craniotomy for Neurosurgical Procedures

Keywords

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Craniotomy Skull fixation Skull Grip Reconstructive cranial surgery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Skull Grip bone fixation

Group Type EXPERIMENTAL

Skull Grip bone fixation

Intervention Type DEVICE

Skull Grip bone fixation

2

Standard skull bon flap fixation, sutures

Group Type ACTIVE_COMPARATOR

sutures

Intervention Type DEVICE

Standard skull bon flap fixation, sutures

Interventions

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Skull Grip bone fixation

Skull Grip bone fixation

Intervention Type DEVICE

sutures

Standard skull bon flap fixation, sutures

Intervention Type DEVICE

Other Intervention Names

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Standard skull bon flap fixation, sutures

Eligibility Criteria

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Inclusion Criteria

1. Major patient (aged ≥ 18 years)
2. Patient scheduled for craniotomy for a benign tumor
3. Patient informed and have signed informed consent

Exclusion Criteria

1. Patient not affiliated with a social security scheme (or beneficiary entitled)
2. Patient with a known allergy to titanium
3. Patient non-compliant or whose follow-up to 3 months is impossible
4. Patient with against-indication scanner
5. Pregnant or lactating
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Salvatore CHIBBARO, MD

Role: PRINCIPAL_INVESTIGATOR

Hôpital Lariboisière, Neurochirurgie

Locations

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CHU Lariboisière, AP-HP, Neurochirurgie

Paris, Île-de-France Region, France

Site Status

Countries

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France

References

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Chibbaro S, Makiese O, Bresson D, Hamdi S, Cornelius JF, Guichard JP, Reiss A, Bouazza S, Vicaut E, Ricci A, Galzio R, Poczos P, George B, Marsella M, Di Emidio P. Skull bone flap fixation - reliability and efficacy of a new grip-like titanium device (Skull Grip) versus traditional sutures: a clinical randomized trial. Minim Invasive Neurosurg. 2011 Oct;54(5-6):282-5. doi: 10.1055/s-0031-1297246. Epub 2012 Jan 25.

Reference Type RESULT
PMID: 22278799 (View on PubMed)

Other Identifiers

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P080501

Identifier Type: -

Identifier Source: org_study_id