A New Decisional Tree for the Management of Acetabular Fractures : Monocentric Observational Study
NCT ID: NCT06338228
Last Updated: 2024-03-29
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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RECRUITING
250 participants
OBSERVATIONAL
2024-03-01
2025-03-01
Brief Summary
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. In the last twenty years, the main series published in the literature are small series due to the rarity of the fractures and their trauma context (loss of follow-up, polytrauma patients…). The large variety of fracture patterns according to the Letournel classification creates a spread in patient distribution and decreases the power of statistical analysis. That is the reason why big series are rare and only a few of them allow significant conclusions . The other studies are meta-analyses with their limitations
The lack of consensus makes it difficult to interpret the results between series, so the investigators developed a decision tree to address this knowledge gap.
The aim of this study is to assess and compare the results of a decisional tree for acetabular fracture in a large cohort of patients from a well-known experimental trauma center.
Detailed Description
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Conditions
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Study Design
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COHORT
OTHER
Study Groups
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patients managed for Acetabular fracture
collect the data for all the patients managed and operated on between 01/01/2020 AND 31/01/2022 for Acetabular fracture
No interventions assigned to this group
Eligibility Criteria
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Inclusion Criteria
* Acetabular fracture
* Pre-operative standard X-ray image
* Pre-operative CT image
* Post-operative X-ray standard image (AP-alar and obturator views)
* Post-operative CT scan.
* Willingness and ability to participate in the study
Exclusion Criteria
* Pregnant, lactating women
* Subject under administrative or judicial supervision
18 Years
100 Years
ALL
No
Sponsors
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University Hospital, Grenoble
OTHER
Responsible Party
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Principal Investigators
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Mehdi PI BOUDISSA, Pr
Role: PRINCIPAL_INVESTIGATOR
Grenoble Alpes University Hospital
Locations
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Grenoble Alpes University Hospital,La tronche
Grenoble, , France
Countries
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Central Contacts
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Facility Contacts
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Sarah, Pharm D
Role: primary
References
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JUDET R, JUDET J, LETOURNEL E. FRACTURES OF THE ACETABULUM: CLASSIFICATION AND SURGICAL APPROACHES FOR OPEN REDUCTION. PRELIMINARY REPORT. J Bone Joint Surg Am. 1964 Dec;46:1615-46. No abstract available.
Matta JM, Anderson LM, Epstein HC, Hendricks P. Fractures of the acetabulum. A retrospective analysis. Clin Orthop Relat Res. 1986 Apr;(205):230-40.
Matta JM, Merritt PO. Displaced acetabular fractures. Clin Orthop Relat Res. 1988 May;(230):83-97.
Letournel E. Acetabulum fractures: classification and management. Clin Orthop Relat Res. 1980 Sep;(151):81-106.
Negrin LL, Seligson D. Results of 167 consecutive cases of acetabular fractures using the Kocher-Langenbeck approach: a case series. J Orthop Surg Res. 2017 Apr 26;12(1):66. doi: 10.1186/s13018-017-0563-6.
Kreder HJ, Rozen N, Borkhoff CM, Laflamme YG, McKee MD, Schemitsch EH, Stephen DJ. Determinants of functional outcome after simple and complex acetabular fractures involving the posterior wall. J Bone Joint Surg Br. 2006 Jun;88(6):776-82. doi: 10.1302/0301-620X.88B6.17342.
Wang XJ, Lu Li, Zhang ZH, Su YX, Guo XS, Wei XC, Wei L. Ilioinguinal approach versus Stoppa approach for open reduction and internal fixation in the treatment of displaced acetabular fractures: A systematic review and meta-analysis. Chin J Traumatol. 2017 Aug;20(4):229-234. doi: 10.1016/j.cjtee.2017.01.005. Epub 2017 Jun 19.
Shazar N, Eshed I, Ackshota N, Hershkovich O, Khazanov A, Herman A. Comparison of acetabular fracture reduction quality by the ilioinguinal or the anterior intrapelvic (modified Rives-Stoppa) surgical approaches. J Orthop Trauma. 2014 Jun;28(6):313-9. doi: 10.1097/01.bot.0000435627.56658.53.
Giannoudis PV, Grotz MR, Papakostidis C, Dinopoulos H. Operative treatment of displaced fractures of the acetabulum. A meta-analysis. J Bone Joint Surg Br. 2005 Jan;87(1):2-9.
Mears DC, Velyvis JH, Chang CP. Displaced acetabular fractures managed operatively: indicators of outcome. Clin Orthop Relat Res. 2003 Feb;(407):173-86. doi: 10.1097/00003086-200302000-00026.
Murphy D, Kaliszer M, Rice J, McElwain JP. Outcome after acetabular fracture. Prognostic factors and their inter-relationships. Injury. 2003 Jul;34(7):512-7. doi: 10.1016/s0020-1383(02)00349-2.
Tannast M, Najibi S, Matta JM. Two to twenty-year survivorship of the hip in 810 patients with operatively treated acetabular fractures. J Bone Joint Surg Am. 2012 Sep 5;94(17):1559-67. doi: 10.2106/JBJS.K.00444.
Boudissa M, Ruatti S, Kerschbaumer G, Milaire M, Merloz P, Tonetti J. Part 2: outcome of acetabular fractures and associated prognostic factors-a ten-year retrospective study of one hundred and fifty six operated cases with open reduction and internal fixation. Int Orthop. 2016 Oct;40(10):2151-2156. doi: 10.1007/s00264-015-3070-6. Epub 2015 Dec 21.
Boudissa M, Francony F, Kerschbaumer G, Ruatti S, Milaire M, Merloz P, Tonetti J. Epidemiology and treatment of acetabular fractures in a level-1 trauma centre: Retrospective study of 414 patients over 10 years. Orthop Traumatol Surg Res. 2017 May;103(3):335-339. doi: 10.1016/j.otsr.2017.01.004. Epub 2017 Feb 22.
Other Identifiers
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2023-A02458-37
Identifier Type: -
Identifier Source: org_study_id