Trial Outcomes & Findings for Do Generic Volar Locking Plates Provide Similar Outcomes at a Reduced Cost? (NCT NCT06343467)

NCT ID: NCT06343467

Last Updated: 2024-08-28

Results Overview

Reoperation for any reason postoperatively within 90 days after the date of surgery.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

101 participants

Primary outcome timeframe

Within 90 days postoperatively

Results posted on

2024-08-28

Participant Flow

Detailed physical examination of patient with radiographic evaluation of distal radius fracture and indication for volar locking plate open reduction and internal fixation. Patients with open fracture observed on physical examination, polytrauma (any other fracture or medical instability), metaphyseal extension of the fracture, age less than 18 years, and fracture pattern not suitable for fixation with volar locking plate were excluded before assignment to groups.

Participant milestones

Participant milestones
Measure
Generic Implant
Patients with an isolated distal radius fracture are treated surgically with a generic volar locking plate. All other surgical protocols remain unchanged. Generic Volar Locking Plate: Application of a generic volar locking plate is done in the generic implant arm compared to the other commonly used implants by surgeons in the conventional implant arm.
Conventional Implant
Patients with an isolated distal radius fracture are treated surgically with a conventional, brand name volar locking plate of the surgeon's choice. All other surgical protocols remain unchanged. Conventional Volar Locking Plate: Application of a conventional, brand name volar locking plate is done in the conventional implant arm compared to the generic implant arm.
Overall Study
STARTED
19
47
Overall Study
COMPLETED
19
47
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Generic Implant
n=19 Participants
Patients with an isolated distal radius fracture are treated surgically with a generic volar locking plate. All other surgical protocols remain unchanged. Generic Volar Locking Plate: Application of a generic volar locking plate is done in the generic implant arm compared to the other commonly used implants by surgeons in the conventional implant arm.
Conventional Implant
n=47 Participants
Patients with an isolated distal radius fracture are treated surgically with a conventional, brand name volar locking plate of the surgeon's choice. All other surgical protocols remain unchanged. Conventional Volar Locking Plate: Application of a conventional, brand name volar locking plate is done in the conventional implant arm compared to the generic implant arm.
Total
n=66 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=19 Participants
0 Participants
n=47 Participants
0 Participants
n=66 Participants
Age, Categorical
Between 18 and 65 years
13 Participants
n=19 Participants
27 Participants
n=47 Participants
40 Participants
n=66 Participants
Age, Categorical
>=65 years
6 Participants
n=19 Participants
20 Participants
n=47 Participants
26 Participants
n=66 Participants
Age, Continuous
61.75 years
STANDARD_DEVIATION 12.16 • n=19 Participants
60.74 years
STANDARD_DEVIATION 11.37 • n=47 Participants
61.03 years
STANDARD_DEVIATION 11.52 • n=66 Participants
Sex: Female, Male
Female
18 Participants
n=19 Participants
43 Participants
n=47 Participants
61 Participants
n=66 Participants
Sex: Female, Male
Male
1 Participants
n=19 Participants
4 Participants
n=47 Participants
5 Participants
n=66 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
19 Participants
n=19 Participants
47 Participants
n=47 Participants
66 Participants
n=66 Participants

PRIMARY outcome

Timeframe: Within 90 days postoperatively

Reoperation for any reason postoperatively within 90 days after the date of surgery.

Outcome measures

Outcome measures
Measure
Generic Implant
n=19 Participants
Patients with an isolated distal radius fracture are treated surgically with a generic volar locking plate. All other surgical protocols remain unchanged. Generic Volar Locking Plate: Application of a generic volar locking plate is done in the generic implant arm compared to the other commonly used implants by surgeons in the conventional implant arm.
Conventional Implant
n=47 Participants
Patients with an isolated distal radius fracture are treated surgically with a conventional, brand name volar locking plate of the surgeon's choice. All other surgical protocols remain unchanged. Conventional Volar Locking Plate: Application of a conventional, brand name volar locking plate is done in the conventional implant arm compared to the generic implant arm.
90-day Reoperation Rate
0 Participants
0 Participants

PRIMARY outcome

Timeframe: Within 90 days postoperatively

Readmission to the hospital for any reason postoperatively within 90 days after the date of surgery.

Outcome measures

Outcome measures
Measure
Generic Implant
n=19 Participants
Patients with an isolated distal radius fracture are treated surgically with a generic volar locking plate. All other surgical protocols remain unchanged. Generic Volar Locking Plate: Application of a generic volar locking plate is done in the generic implant arm compared to the other commonly used implants by surgeons in the conventional implant arm.
Conventional Implant
n=47 Participants
Patients with an isolated distal radius fracture are treated surgically with a conventional, brand name volar locking plate of the surgeon's choice. All other surgical protocols remain unchanged. Conventional Volar Locking Plate: Application of a conventional, brand name volar locking plate is done in the conventional implant arm compared to the generic implant arm.
90-day Readmission Rate
0 Participants
0 Participants

PRIMARY outcome

Timeframe: Within 90 days postoperatively

Patient death at any point within 90 days after the date of surgery.

Outcome measures

Outcome measures
Measure
Generic Implant
n=19 Participants
Patients with an isolated distal radius fracture are treated surgically with a generic volar locking plate. All other surgical protocols remain unchanged. Generic Volar Locking Plate: Application of a generic volar locking plate is done in the generic implant arm compared to the other commonly used implants by surgeons in the conventional implant arm.
Conventional Implant
n=47 Participants
Patients with an isolated distal radius fracture are treated surgically with a conventional, brand name volar locking plate of the surgeon's choice. All other surgical protocols remain unchanged. Conventional Volar Locking Plate: Application of a conventional, brand name volar locking plate is done in the conventional implant arm compared to the generic implant arm.
90-day Mortality Rate
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Day of Surgery

The total cost of implants used in the procedure, including screws, pegs, volar locking plates, and disposable implants.

Outcome measures

Outcome measures
Measure
Generic Implant
n=19 Participants
Patients with an isolated distal radius fracture are treated surgically with a generic volar locking plate. All other surgical protocols remain unchanged. Generic Volar Locking Plate: Application of a generic volar locking plate is done in the generic implant arm compared to the other commonly used implants by surgeons in the conventional implant arm.
Conventional Implant
n=47 Participants
Patients with an isolated distal radius fracture are treated surgically with a conventional, brand name volar locking plate of the surgeon's choice. All other surgical protocols remain unchanged. Conventional Volar Locking Plate: Application of a conventional, brand name volar locking plate is done in the conventional implant arm compared to the generic implant arm.
Implant Cost
702.38 United States Dollars
Standard Deviation 47.83
1348.61 United States Dollars
Standard Deviation 100.77

SECONDARY outcome

Timeframe: From tourniquet inflation to deflation during the procedure.

The total time in minutes from tourniquet inflation to deflation for a surgical case.

Outcome measures

Outcome measures
Measure
Generic Implant
n=19 Participants
Patients with an isolated distal radius fracture are treated surgically with a generic volar locking plate. All other surgical protocols remain unchanged. Generic Volar Locking Plate: Application of a generic volar locking plate is done in the generic implant arm compared to the other commonly used implants by surgeons in the conventional implant arm.
Conventional Implant
n=47 Participants
Patients with an isolated distal radius fracture are treated surgically with a conventional, brand name volar locking plate of the surgeon's choice. All other surgical protocols remain unchanged. Conventional Volar Locking Plate: Application of a conventional, brand name volar locking plate is done in the conventional implant arm compared to the generic implant arm.
Tourniquet Time
49.05 minutes
Standard Deviation 19.2
45.06 minutes
Standard Deviation 12.84

SECONDARY outcome

Timeframe: Day of Surgery

Estimated blood loss for the surgical case as reported by the surgeon in milliliters.

Outcome measures

Outcome measures
Measure
Generic Implant
n=19 Participants
Patients with an isolated distal radius fracture are treated surgically with a generic volar locking plate. All other surgical protocols remain unchanged. Generic Volar Locking Plate: Application of a generic volar locking plate is done in the generic implant arm compared to the other commonly used implants by surgeons in the conventional implant arm.
Conventional Implant
n=47 Participants
Patients with an isolated distal radius fracture are treated surgically with a conventional, brand name volar locking plate of the surgeon's choice. All other surgical protocols remain unchanged. Conventional Volar Locking Plate: Application of a conventional, brand name volar locking plate is done in the conventional implant arm compared to the generic implant arm.
Estimated Blood Loss
13.3 milliliters
Standard Deviation 10.2
13.2 milliliters
Standard Deviation 6.8

Adverse Events

Generic Implant

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Conventional Implant

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Megan Reams; Director of Orthopaedic Research

TRIA Orthopedic Center

Phone: (952) 806-5329

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place