Static Balance Disorders in Patients After Surgical Treatment of Hip Acetabular Fractures

NCT ID: NCT04902209

Last Updated: 2021-05-26

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

Total Enrollment

110 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-01-31

Study Completion Date

2017-01-31

Brief Summary

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The mechanism of maintaining balance is a complex phenomenon, involving numerous systems of human body. High-energy trauma resulting in acetabular fracture damages some of the elements composing this delicate mechanism, potentially increasing the risk of falls in patients. There have not been any studies so far on balance levels in patients after surgical treatment of acetabular fractures.

Questions/purposes

1. Do balance disorders occur in patients after ORIF of acetabular fractures?
2. Do surgical approach and fracture pattern influence balance level of patients?
3. Should therapy programs include certain stabilometric parameters adequate especially for this type of injury?

Detailed Description

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Methods Between 2014-2017, investigators evaluated 110 subjects: 55 patients after surgical treatment of acetabular fracture - the study population (mean age 43.6 ± 14.8 years) and 55 healthy subjects - the clinical control group (mean age 43.8 ± 14.9 years).

To ensure reliability of results, controls were individually matched to appropriate study population patients, in terms age, sex, body height and mass.

The study was conducted in Public Hospital and the protocol was approved by the Commission of Ethics (SKE 01-21/2014).

Investigators measured static balance in double leg stance (eyes open/eyes closed) for 30s on CQStab2P, a double module stabilometric platform.

The pain component of the Harris Hip score and the quality of fracture reduction (according to Matta's criteria) in digitized anteroposterior and two oblique view radiographs were analyzed.

Conditions

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Hip Fractures Acetabular Fracture Balance; Distorted Disability Physical

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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1- study group- patients after surgical treatment of acetabular fracture

1- study group- patients after surgical treatment of hip acetabular fracture

postural stability measurements

Intervention Type PROCEDURE

Static balance assessment on bi-module stabilometric platform CQStab2P. It registers the movement of centre of foot pressure (COP).

Harris hip score- disability assesment

2- control group- healthy subjects

2- control group- healthy subjects age, BMI matched

postural stability measurements

Intervention Type PROCEDURE

Static balance assessment on bi-module stabilometric platform CQStab2P. It registers the movement of centre of foot pressure (COP).

Harris hip score- disability assesment

Interventions

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postural stability measurements

Static balance assessment on bi-module stabilometric platform CQStab2P. It registers the movement of centre of foot pressure (COP).

Harris hip score- disability assesment

Intervention Type PROCEDURE

Other Intervention Names

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harris hip score

Eligibility Criteria

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Inclusion Criteria

* written consent to participate in the study,
* full legal age,
* surgically treated hip acetabular fracture,
* time after the surgery between 3 and 84 months,
* full cognitive abilities, -full medical documentation, - the ability to fully load the operated limb (doctor's consent).

Exclusion Criteria

* craniocerebral injuries,
* visual system disorders,
* neurological disorders,
* ear and sinuses infections,
* spinal pain
* injuries to the lower extremities,
* chronic illnesses (cancer, Parkinson's disease, epilepsy, diabetes, neuro-muscular disorders, uncontrolled coronary heart disease),
* taking psychoactive substances,
* lower limb thrombosis
Minimum Eligible Age

20 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Józef Piłsudski University of Physical Education

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

References

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Aprato A, Joeris A, Tosto F, Kalampoki V, Stucchi A, Masse A. Direct and indirect costs of surgically treated pelvic fractures. Arch Orthop Trauma Surg. 2016 Mar;136(3):325-30. doi: 10.1007/s00402-015-2373-9. Epub 2015 Dec 11.

Reference Type BACKGROUND
PMID: 26660303 (View on PubMed)

Arokoski JP, Leinonen V, Arokoski MH, Aalto H, Valtonen H. Postural control in male patients with hip osteoarthritis. Gait Posture. 2006 Jan;23(1):45-50. doi: 10.1016/j.gaitpost.2004.11.017. Epub 2005 Jan 18.

Reference Type BACKGROUND
PMID: 16311194 (View on PubMed)

Bhat NA, Kangoo KA, Wani IH, Wali GR, Muzaffar N, Dar RA. Operative management of displaced acetabular fractures: an institutional experience with a midterm follow-up. Ortop Traumatol Rehabil. 2014 May-Jun;16(3):245-52. doi: 10.5604/15093492.1112281.

Reference Type BACKGROUND
PMID: 25058100 (View on PubMed)

Baschera D, Rad H, Collopy D, Zellweger R. Incidence and clinical relevance of heterotopic ossification after internal fixation of acetabular fractures: retrospective cohort and case control study. J Orthop Surg Res. 2015 May 9;10:60. doi: 10.1186/s13018-015-0202-z.

Reference Type BACKGROUND
PMID: 25956896 (View on PubMed)

Edgren J, Salpakoski A, Rantanen T, Heinonen A, Kallinen M, von Bonsdorff MB, Portegijs E, Sihvonen S, Sipila S. Balance confidence and functional balance are associated with physical disability after hip fracture. Gait Posture. 2013 Feb;37(2):201-5. doi: 10.1016/j.gaitpost.2012.07.001. Epub 2012 Aug 9.

Reference Type BACKGROUND
PMID: 22884315 (View on PubMed)

Dadura E, Truszczynska-Baszak A, Szydlowski D. Radiological and Functional Assessment of Treatment Outcomes in Patients after Open Reduction with Internal Fixation (ORIF) of Acetabular Fractures. Int J Environ Res Public Health. 2022 Jan 24;19(3):1277. doi: 10.3390/ijerph19031277.

Reference Type DERIVED
PMID: 35162298 (View on PubMed)

Other Identifiers

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Ds 310/SN4

Identifier Type: -

Identifier Source: org_study_id

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