A Prospective Trial Comparing the Cost of Post Operative X-rays for Fractures Treated With Stable Internal Fixation
NCT ID: NCT01644344
Last Updated: 2012-10-04
Study Results
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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COMPLETED
PHASE3
39 participants
INTERVENTIONAL
2012-01-31
2012-08-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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X-ray
Control group: patients will receive standard radiographs post-operative day one or two in hospital, as well as radiographs in clinic at two and six weeks. Each time radiographs are completed, the surgeon or resident will document if a change in fixation position is noted and if a change in patient management will be entertained (addition, modification or maintenance of cast or splint use, modification of or decision not to advance activity level, need for further surgery to adjust fixation or fracture reduction). The patients' time spent in clinic will be recorded upon arrival and upon completion of the patient-physician interaction.
Xray
No X-ray
No-Xray
Treatment group: these patients will not have routine post-operative in hospital radiographs, or radiographs in clinic at two weeks. After examining the patient, the surgeon or resident can order radiographs if required at any time. The decision will be made based on patient complaints of increased pain, appearance of abuse of the splint or cast suggesting lack of compliance or visible clinical deformity of the limb. The reason leading to radiographs will be documented by the ordering physician. If radiographs are ordered based on a wound complication, this will be specifically documented. Radiographic findings will be documented on a form identical to that used for the control group.
Interventions
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No-Xray
Treatment group: these patients will not have routine post-operative in hospital radiographs, or radiographs in clinic at two weeks. After examining the patient, the surgeon or resident can order radiographs if required at any time. The decision will be made based on patient complaints of increased pain, appearance of abuse of the splint or cast suggesting lack of compliance or visible clinical deformity of the limb. The reason leading to radiographs will be documented by the ordering physician. If radiographs are ordered based on a wound complication, this will be specifically documented. Radiographic findings will be documented on a form identical to that used for the control group.
Xray
Eligibility Criteria
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Inclusion Criteria
* Tibia fracture treated with intramedullary nailing
* Ankle fractures treated with standard compression technique
* Humeral shaft fractures treated with standard compression technique
* Forearm fractures treated with standard compression technique
* One or both bones fractured
* Simple fracture or presence of single butterfly fragment treated with lag screw
* Clavicle fracture treated with standard compression technique
* Olecranon fracture treated with standard compression technique
Exclusion Criteria
* Multiple orthopaedic fractures
* History of radiographic appearance of osteoporosis or osteopenia or poor operative bone quality
* Likely difficult with follow-up in first 6 weeks
* Same day surgery case
* Surgeon feels patient should be excluded
17 Years
ALL
No
Sponsors
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Health Sciences Centre Foundation, Manitoba
OTHER
University of Manitoba
OTHER
Responsible Party
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Locations
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Health Sciences Centre
Winnipeg, Manitoba, Canada
Countries
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Other Identifiers
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RI1211:135
Identifier Type: -
Identifier Source: org_study_id