Preoperative Treatment of Malleolar Fractures

NCT ID: NCT02444468

Last Updated: 2016-08-18

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

96 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-03-31

Study Completion Date

2018-04-30

Brief Summary

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This study investigates, in a randomized setting, the use of intermittent in-cast pneumatic foot-compression (IPC) in the preoperative treatment of malleolar fractures. This is to investigate whether the IPC has any effect on preventing swelling of the ankle, and thereby preventing delay of surgery due to swelling.

The investigators will include patients with malleolar fractures that require surgery in two groups, IPC and bandage or bandage only, and measure the time from diagnosis-to-surgery.

Detailed Description

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Malleolar fractures are often complicated by tissue swelling due to soft tissue injury, haemorrhage and secondary inflammation.

This can lead to severe oedema which can compromise the ability to perform surgery due to blister formation or the inability to close the skin after surgery. Studies have shown that the use of intermittent pneumatic foot-compression (IPC) can reduce waiting time from diagnosis to surgery as well as reduce length of hospital stay.

Purpose of the study is in a randomized study to investigate whether patients requiring surgery because of malleolar fractures has a lower diagnosis-to-surgery time when using IPC than patients not using IPC.

All patients age 18 or above admitted to our hospital with malleolar fractures (AO type 44-A, 44-B, 44-C) requiring surgery, will be randomized to either in-cast IPC or only cast-immobilization. Time from diagnosis of the fracture(time of the x-ray) until start of surgery(time of incision) will be the primary outcome. Patients will be seen in a postoperative ambulatory follow-up at 14 days, 6 weeks, 3 months and 1 year.

Conditions

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Ankle Fractures Intermittent Pneumatic Compression Comparative Study Preoperative Care

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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IPC and bandage

Pneumatic device and bandage

Group Type EXPERIMENTAL

Flowtron ACS800

Intervention Type DEVICE

Flowtron ACS800 and bandage

Bandage

Intervention Type OTHER

Bandage only

Bandage only

Bandage only

Group Type ACTIVE_COMPARATOR

Bandage

Intervention Type OTHER

Bandage only

Interventions

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Flowtron ACS800

Flowtron ACS800 and bandage

Intervention Type DEVICE

Bandage

Bandage only

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Malleolar fracture requiring surgery.

Exclusion Criteria

* Severe arteriosclerosis.
* Known or suspected acute DVT or flebit.
* Severe decompensated heart failure.
* Pulmonary embolism.
* Acute skin conditions as dermatitis, infected wounds or recent skintransplant.
* Open fracture.
* Inability and/or unable to comply with treatment regime and/or to attend postoperative ambulatory follow-up.
* Pregnancy.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital of Southern Jutland

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jesper O Schønnemann, Dr

Role: PRINCIPAL_INVESTIGATOR

Hospital southern Jutland

Locations

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Jesper O. Schønnemann

Aabenraa, , Denmark

Site Status RECRUITING

Countries

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Denmark

Central Contacts

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Jesper O Schønnemann, Dr

Role: CONTACT

+4579976170

Facility Contacts

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Jesper O Schønnemann, Dr.

Role: primary

+4579976170

Other Identifiers

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IPC-study

Identifier Type: -

Identifier Source: org_study_id

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