Immobilization Versus Observation in Children With Toddler's Fractures: a Prospective Randomized Controlled Trial

NCT ID: NCT01926795

Last Updated: 2015-04-07

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

NA

Total Enrollment

21 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-06-30

Study Completion Date

2015-02-28

Brief Summary

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Toddler's fractures of the tibia are by definition non-displaced and of a stable pattern. Children have thickened periosteum compared with adults, which therefore may impart stability to the fracture without the need for additional immobilization. The goal of the study is to evaluate whether or not there is a difference in children treated with and without cast immobilization in regards to time to ambulation; perceived pain; difficulty in dressing \& bathing; radiographic displacement or angulation; and time missed from work or daycare. Our null hypothesis is that there will be no difference in clinical or radiographic outcomes between the groups.

Detailed Description

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Conditions

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Tibial Fractures

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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Short Leg Cast

Patient will be placed in a short leg cast for approximately 3 weeks or until radiographic union

Group Type ACTIVE_COMPARATOR

Short leg cast

Intervention Type PROCEDURE

No immobilization

No cast or splint will be applied to the injured extremity

Group Type EXPERIMENTAL

No Immobilization

Intervention Type PROCEDURE

Observational

Patient will be treated based on the parents comfort. This arm will consist of individuals in which the parent/guardian did not agree to randomization, but did consent for observational follow-up regardless of treatment.

Group Type OTHER

Short leg cast

Intervention Type PROCEDURE

No Immobilization

Intervention Type PROCEDURE

Interventions

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Short leg cast

Intervention Type PROCEDURE

No Immobilization

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* • Children ages 1-5 years old with radiographic evidence of a non-displaced spiral or oblique fracture of the tibial shaft or metaphysis.

Exclusion Criteria

* • Children with clinical suspicion but lack of radiographic evidence for toddler's fracture

* Fractures displaced \>2mm
* Open fractures
* Pathologic fracture
* Fractures involving the physis
* Previous fracture of the ipsilateral extremity
* Concomitant fracture involving the ipsilateral or contralateral leg
* Concomitant head injury
* Non-ambulatory children (i.e., those who have not yet begun to walk)
* Children with bone-metabolism disorders (i.e., osteogenesis imperfect, rickets)
* Children who are geographically prohibited from following up in our system
* Children whose caregivers are not proficient in English
* Presentation \>7 days from injury
* Cases considered to be non-accidental trauma
Minimum Eligible Age

1 Year

Maximum Eligible Age

5 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Prisma Health-Upstate

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michael L Beckish, MD

Role: PRINCIPAL_INVESTIGATOR

Greenville Hospital System

Locations

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Greenville Hospital System

Greenville, South Carolina, United States

Site Status

Countries

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United States

Other Identifiers

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Pro00025178

Identifier Type: -

Identifier Source: org_study_id

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