Bifocal vs Trifocal External Bone Transport by Ilizarov Ring External Fixator in Lower Limbs
NCT ID: NCT04486365
Last Updated: 2020-07-24
Study Results
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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UNKNOWN
NA
30 participants
INTERVENTIONAL
2020-08-01
2023-08-01
Brief Summary
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* External fixation index .
* The need of any further surgical procedures as debridement at docking site , the need of cancellous bone graft or the use of internal fixation.
* Functional outcome, complication rate as well as limb length discrepancy.
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Detailed Description
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There are three treatment approaches by ilizarov ring external fixator according to number of bone osteotomies. First one is the monofocal approach with closure of defect without any osteotomies. Second one is the bifocal approach with a single osteotomy to create one transported bone segment between the osteotomy and the defect. Third one is the trifocal approach with two osteotomies creating two separate transported bone segments.
Hypothetically, trifocal approach has shorter treatment time than bifocal one as it is a double level bone transport so closes the defect faster. However, there are other considerations as complications that may occur and the need of further surgical procedures and this is what will be discussed in this research.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Bifocal bone transport
The bifocal approach is a single osteotomy to create one transported bone segment between the osteotomy and the defect.
Bifocal bone transport.
The bifocal approach is a single osteotomy to create one transported bone segment between the osteotomy and the defect.
Trifocal bone transport
The trifocal approach is two osteotomies creating two separate transported bone segments between osteotomy and defect.
Trifocal bone transport
The trifocal approach is two osteotomies creating two separate transported bone segments.
Interventions
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Bifocal bone transport.
The bifocal approach is a single osteotomy to create one transported bone segment between the osteotomy and the defect.
Trifocal bone transport
The trifocal approach is two osteotomies creating two separate transported bone segments.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
18 Years
60 Years
ALL
No
Sponsors
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Assiut University
OTHER
Responsible Party
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Khaled Mohsen Mohammed Ahmed
Resident physician in orthopedic surgery department.
Central Contacts
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References
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Hansen M, Mehler D, Voltmer W, Rommens PM. [The extraarticular proximal tibial fractures]. Unfallchirurg. 2002 Oct;105(10):858-72. doi: 10.1007/s00113-002-0529-x. German.
Court-Brown CM, Caesar B. Epidemiology of adult fractures: A review. Injury. 2006 Aug;37(8):691-7. doi: 10.1016/j.injury.2006.04.130. Epub 2006 Jun 30.
Gaebler C, Berger U, Schandelmaier P, Greitbauer M, Schauwecker HH, Applegate B, Zych G, Vecsei V. Rates and odds ratios for complications in closed and open tibial fractures treated with unreamed, small diameter tibial nails: a multicenter analysis of 467 cases. J Orthop Trauma. 2001 Aug;15(6):415-23. doi: 10.1097/00005131-200108000-00006.
Giannoudis PV, Papakostidis C, Roberts C. A review of the management of open fractures of the tibia and femur. J Bone Joint Surg Br. 2006 Mar;88(3):281-9. doi: 10.1302/0301-620X.88B3.16465. No abstract available.
Other Identifiers
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Ilizarov ring external fixator
Identifier Type: -
Identifier Source: org_study_id
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