Return of Function and External Rotation Post Proximal Humerus Fracture Fixation With Neutral Rotation Brace

NCT ID: NCT02073695

Last Updated: 2019-07-18

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

TERMINATED

Clinical Phase

NA

Total Enrollment

2 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-01-31

Study Completion Date

2013-12-31

Brief Summary

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Research question:

Do patients using a neutral rotation brace post surgery have improved functional outcome and external rotation of the shoulder compared to current best practice using a polysling holding the proximal humerus in internal rotation?

Primary objectives:

To compare post-operative functional outcome scores obtained at 6 weeks, 9 weeks, 3 months and 1 year. (Scores at 6 weeks and 3 months in clinical review and postal scores at 9 weeks and 1 year) between patients held in neutral versus current standard rotation. These will be compared to scores taken pre-operatively.

Benefits:

There may be no extra benefits to patients from this trial however the results from the trial will help improve treatment for future patients at this hospital, and others across the country.

Risks/disadvantages:

The operation is the same in both groups studied, the study is investigating the use of the two different slings. The post-operative treatment is also the same, and all patients on the trial will receive the same amount of physiotherapy. It isn't anticipated that there will be any additional risk from this trial.

Detailed Description

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Conditions

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Proximal Humeral Fracture

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Neutral Rotation Brace

Neutral Rotation Brace

Group Type OTHER

Operative procedure to fix proximal humeral

Intervention Type PROCEDURE

Operative fixation by the shoulder team at Torbay Hospital

Neutral Rotation Brace

Intervention Type DEVICE

Performed at the end of the surgical procedure at Torbay Hospital

Physiotherapy review

Intervention Type OTHER

Physiotherapy review on day of surgery, and post-surgery at 6 weeks, 3 months and 1 year.

Functional outcome forms filled in

Intervention Type OTHER

Postal functional outcome scores

Intervention Type OTHER

Sent to patient at 9 weeks post surgery

Post-operative Radiographs

Intervention Type OTHER

Performed at 6 weeks and 3 months at shoulder clinic appointment at Torbay Hospital

Standard polysling (Current practice)

Standard polysling (Current practice)

Group Type OTHER

Operative procedure to fix proximal humeral

Intervention Type PROCEDURE

Operative fixation by the shoulder team at Torbay Hospital

Neutral Rotation Brace

Intervention Type DEVICE

Performed at the end of the surgical procedure at Torbay Hospital

Physiotherapy review

Intervention Type OTHER

Physiotherapy review on day of surgery, and post-surgery at 6 weeks, 3 months and 1 year.

Functional outcome forms filled in

Intervention Type OTHER

Postal functional outcome scores

Intervention Type OTHER

Sent to patient at 9 weeks post surgery

Post-operative Radiographs

Intervention Type OTHER

Performed at 6 weeks and 3 months at shoulder clinic appointment at Torbay Hospital

Interventions

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Operative procedure to fix proximal humeral

Operative fixation by the shoulder team at Torbay Hospital

Intervention Type PROCEDURE

Neutral Rotation Brace

Performed at the end of the surgical procedure at Torbay Hospital

Intervention Type DEVICE

Physiotherapy review

Physiotherapy review on day of surgery, and post-surgery at 6 weeks, 3 months and 1 year.

Intervention Type OTHER

Functional outcome forms filled in

Intervention Type OTHER

Postal functional outcome scores

Sent to patient at 9 weeks post surgery

Intervention Type OTHER

Post-operative Radiographs

Performed at 6 weeks and 3 months at shoulder clinic appointment at Torbay Hospital

Intervention Type OTHER

Other Intervention Names

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Oxford DASH SF-12

Eligibility Criteria

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Inclusion Criteria

* Proximal humeral fractures requiring operative intervention with extramedullary plate fixation (i.e. fractures displaced by 1cm and/or angulated by 45 degrees or more)
* Age over 18 years of age
* Patient able to give informed consent

Exclusion Criteria

* Patients having intra-operative findings to complete Pectoralis major rupture or if operative exposure requires complete Pectoralis major tenotomy. (These patients need to be held in internal rotation with a standard polysling to allow healing of the Pectoralis major tendon)
* Patients under 18 years of age
* Patients unable to give informed consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Torbay and South Devon NHS Foundation Trust

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Veronica Conboy, FRCS (Orth)

Role: PRINCIPAL_INVESTIGATOR

South Devon Healthcare

Locations

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Torbay District General Hospital

Torquay, , United Kingdom

Site Status

Countries

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United Kingdom

References

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Handoll HH, Elliott J, Thillemann TM, Aluko P, Brorson S. Interventions for treating proximal humeral fractures in adults. Cochrane Database Syst Rev. 2022 Jun 21;6(6):CD000434. doi: 10.1002/14651858.CD000434.pub5.

Reference Type DERIVED
PMID: 35727196 (View on PubMed)

Other Identifiers

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13/01/049

Identifier Type: -

Identifier Source: org_study_id

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