Immediate Weight Bearing Versus Protected Weight Bearing in Supracondylar Distal Femur Fractures

NCT ID: NCT03167099

Last Updated: 2022-08-05

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

53 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-04-30

Study Completion Date

2018-10-31

Brief Summary

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This study is designed to examine if immediate weight bearing on a distal femur fracture fixed with a primary locking plate, either a distal condylar locking plate or a LISS (less invasive stabilization system), is safe and promotes more rapid fracture healing than partial weight bearing, which is standard of care.

Detailed Description

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This study is designed to examine if immediate weight bearing on a distal femur fracture fixed with a primary locking plate, either a distal condylar locking plate or a LISS (less invasive stabilization system), is safe and promotes more rapid fracture healing than partial weight bearing, which is standard of care. Historically and currently patients are kept partial weight bearing after fixation of these fractures for 6-12 weeks until callous formation is observed on radiographs. The hypothesis is that participants allowed to bear weight immediately will heal at least as quickly as those who have weight bearing status protected with the added benefits from early mobilization. Fracture healing will be monitored closely by follow up appointments and complications will be documented.

Conditions

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Closed Supracondylar Fracture of Femur

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Both investigators and participants are aware of the assignment. There is no masking; only randomization.

Study Groups

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Full Weight Bearing

Participants assigned to full weight bearing after fixation of distal femur fracture.

Group Type EXPERIMENTAL

Full Weight Bearing

Intervention Type PROCEDURE

full weight bearing after fixation of a distal femur fracture

Partial Weight Bearing

Participants assigned to partial weight bearing, standard of care, after fixation of distal femur fracture.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Full Weight Bearing

full weight bearing after fixation of a distal femur fracture

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* aged \> 18 yo
* distal supracondylar femur fracture (Supracondylar distal femur fractures treated with a locked plate, either a distal condylar locking plate or a LISS (less invasive stabilization system), including peri-prosthetic fractures)
* both male and female

Exclusion Criteria

* Patients with an intracondylar split,
* polytrauma patients with associated trauma that will inhibit their ability to weight bear,
* metastatic disease,
* incomplete follow up,
* subjects with questionable ability to bear weight (ie advanced dementia),
* open fractures with bone loss.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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West Virginia University

OTHER

Sponsor Role lead

Responsible Party

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David Hubbard, MD

MD, Chief, Orthopaedic Trauma Service, Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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David F Hubbard, MD

Role: PRINCIPAL_INVESTIGATOR

West Virginia University

Locations

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West Virginia University

Morgantown, West Virginia, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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1408401969A

Identifier Type: -

Identifier Source: org_study_id

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