Improving Patient Understanding in Preoperative Informed Consent Process of Trauma Patients Using a Mixed Reality Viewer

NCT ID: NCT06062797

Last Updated: 2023-10-02

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

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-04-18

Study Completion Date

2023-12-31

Brief Summary

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This clinical trial aims to compare a Mixed Reality Viewer in the preoperative informed consent process to standard fracture visualization. The participants population are patients with an indication for surgery of a distal radius fracture, upper ankle fracture or proximal humerus fracture using plate osteosynthesis.

The main questions aim to answer are:

* Does the use of the Mixed Reality Viewer improve patient understanding?
* Does the use of the Mixed Reality Viewer improve patient satisfaction?
* Does the use of the Mixed Reality Viewer reduce patient preoperative anxiety?

Participants will have their fracture presented via the Mixed Reality Viewer. Researchers will compare standard fracture imaging using X-ray or CT scans to see if there is any difference in understanding, satisfaction and anxiety.

Detailed Description

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In everyday clinical practice, patients receive a verbal explanation of their medical condition, optional treatment options, and information about the benefits, risks and complications of surgery during preoperative education. To visualize the respective fractures to the patients, they are shown using X-rays, CT scans or MRI images. However, these images are often difficult to understand without prior medical knowledge.

A better understanding of the fracture by the patients and a more comprehensible visualization of the operations can lead to better informed consent between the patients and the doctor. Consequential benefits for treatment and postoperative follow-up may follow.

The investigators hypothesis is that fracture visualization using a Mixed Reality Viewer can generate higher fracture understanding in patients. As a result of better education, this visualization method could lead to higher patient satisfaction and anxiety reduction.

Patients with an indication for surgery of a distal radius fracture, upper ankle fracture or proximal humerus fracture using plate osteosynthesis are randomized into the intervention group or the control group. Both study groups watch verbal education via a recorded video. The intervention group afterward receives a fracture visualization via mixed reality glasses. The control group receives fracture visualization via X-ray or CT scan.

In both the intervention group and the control group, the type of fracture, the extent of the fracture, the surgical method, and the benefits and risks of the surgery are explained to the patients during the visualization.

After the explanation is completed, patients are asked to complete a questionnaire regarding satisfaction and fracture understanding.

Conditions

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Distal Radius Fractures Ankle Fractures Proximal Humeral Fracture

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Mixed Reality

Fracture visualization via Mixed Reality Viewer

Group Type EXPERIMENTAL

Mixed Reality Viewer

Intervention Type DEVICE

The Mixed Reality Viewer from Brainlab (Germany) enables the visualization of the fracture via a 3D hologram. In contrast to virtual reality, where the user is in a completely virtual world, the user of the mixed reality viewer sees the 3D hologram implemented in his real environment.

X-ray or CT scan

Fracture visualization via X-ray or CT scan

Group Type ACTIVE_COMPARATOR

X-ray or CT scan

Intervention Type DEVICE

X-ray or CT scan enables the visualization of the fracture in 2D.

Interventions

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Mixed Reality Viewer

The Mixed Reality Viewer from Brainlab (Germany) enables the visualization of the fracture via a 3D hologram. In contrast to virtual reality, where the user is in a completely virtual world, the user of the mixed reality viewer sees the 3D hologram implemented in his real environment.

Intervention Type DEVICE

X-ray or CT scan

X-ray or CT scan enables the visualization of the fracture in 2D.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Indication for surgery of a distal radius fracture, upper ankle fracture, or proximal humerus fracture using plate osteosynthesis
* Age ≥ 18 years old
* Existing signed confirmation of participation in the study
* Ability to understand a German interview and questionnaire

Exclusion Criteria

* Epilepsy
* Patients with mental limitations (e.g. dementia) or severe visual impairments that prevent informed consent emergency surgery
* Age \< 18 or \> 80 years old
* Inability to understand a German interview and questionnaire
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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LMU Klinikum

OTHER

Sponsor Role lead

Responsible Party

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Konstantin Wehrkamp

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Fabian Gilbert, PD Dr. med

Role: STUDY_DIRECTOR

LMU Munich

Locations

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Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich

Munich, Bavaria, Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Rouven Neudeck

Role: CONTACT

+49 (0)894400-83203

Facility Contacts

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Rouven Neudeck

Role: primary

+49 (0)894400-83203

Other Identifiers

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22-0936

Identifier Type: -

Identifier Source: org_study_id

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