Soft Part Management for Surgical Fractures of the Lower Limb

NCT ID: NCT03915223

Last Updated: 2024-05-08

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

104 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-05-10

Study Completion Date

2024-05-06

Brief Summary

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The assessment consists in comparing corticoids injection versus placebo in surgery of lower limb fractures The aim of study is to assess (state cutaneous, efficacy, safety) corticoids injection on a prospective, randomized analysis

Detailed Description

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One of the major problems of below-knee fractures is edema (delaying surgery time and post-operative complications for healing).

The effect corticosteroids (anti-edema and anti-inflammatory) is used in neurosurgery and maxillofacial surgery.

So, it seemed judicious to evaluate the effectiveness of corticosteroids in bolus preoperatively in order to limit the importance of the edema before intervention to prevent adverse effect of the edema on the cicatrization.

This study will aim to confirm this indication or not on the contrary to change current practices.

Conditions

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Leg Injuries Fracture Edema

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Solumedrol (steroidal anti-inflammatory drug) injection
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
double blinded

Study Groups

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Arm "Injection corticosteroids"

Single dose of Solumedrol 2 mg/kg

Group Type EXPERIMENTAL

leg fracture

Intervention Type PROCEDURE

Surgical leg fracture with injection of solumedrol (steroidal anti-inflammatory drug) or physiological serum

Arm " injection physiological serum"

Single dose of physilogical serum

Group Type PLACEBO_COMPARATOR

leg fracture

Intervention Type PROCEDURE

Surgical leg fracture with injection of solumedrol (steroidal anti-inflammatory drug) or physiological serum

Interventions

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leg fracture

Surgical leg fracture with injection of solumedrol (steroidal anti-inflammatory drug) or physiological serum

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patient over the age of 18, hospitalized in the Orthopedics Department for a leg fracture (ankle, tibia: proximal, diaphysis, distal) requiring surgery within 72 hours of the trauma
* Patient covered by the social security system
* Patient giving informed consent

Exclusion Criteria

* Open fracture with infectious risks cauchoix 2 and 3
* Multiple trauma,
* Pathological fracture on primary or secondary lesions,
* Pre-existing bone disease (excluding osteoporosis) of the operated limb,
* Diabetes,
* Pre-existing trophic disorders on one of the 2 lower limbs,
* Long-term corticotherapy,
* Pathology of the pituitary-adrenal axis,
* Any other contraindication to glucocorticoids: any infectious condition, some developing viral diseases (including hepatitis, herpes, chicken pox, shingles), hypersensitivity to one of the constituents
* Hypernatremia and hypochloremia
* Pre-existing severe cardiac injury
* Contraindication to TegadermTM
* Patient placed under guardianship, tutorship or safeguard of justice,
* Pregnant or lactating women,
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Clermont-Ferrand

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stéphane Boisgard

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Clermont-Ferrand

Locations

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CHU de Clermont-Ferrand

Clermont-Ferrand, , France

Site Status

Countries

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France

Other Identifiers

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2018-003565-33

Identifier Type: OTHER

Identifier Source: secondary_id

RBHP 2018 BOISGARD

Identifier Type: -

Identifier Source: org_study_id

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