Supra-Pectineal QLS Plating Vs Infra-pectineal Plating in Management of Quadrilateral Plate Fractures

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-04-01

Study Completion Date

2024-08-20

Brief Summary

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The investigators conducted such a prospective randomized controlled study aiming to reach a satisfactory outcome and to compare supra-pectineal QL buttress plating versus infra-pectineal for management of anterior column with or without posterior hemi-transverse component and quadrilateral plate involvement.

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Detailed Description

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Our hypothesis was that supra-pectineal quadrilateral buttress plating provides much more rigid fixation and a strong buttress for medial wall migration, also it could correlate with a better functional and radiological outcome. However, there is a lack of knowledge in the prospective assessment of functional and radiological outcomes and follow up of postoperative complications of supra-pectineal quadrilateral buttress plating versus infra-pectineal plating in fixation of QLS and to our knowledge, it will be the first study to include such measures of outcome together in a prospective randomized fashion.

Conditions

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Evaluation of QL Buttress Plating in QLP Fracture Fixation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

An independent doctor created the randomization sequence using Excel 2016 (computerized random numbers) with a 1:1 allocation via random block sizes of 2, 4, and 6; he assigned the sample numbers equally to each group and assigned the block. Patients and physicians allocated to each intervention group were aware of the allocation; however, the data analysts and the outcome assessors were kept blinded to the allocation. The investigators prospectively carried out this study on 30 patients with quadrilateral plate fractures between February 2022 and June 2023 that met our inclusion criteria. The independent doctor allocated the 30 cases to two groups: Group A (15 cases): supra-pectineal quadrilateral buttress plating, group B (15 cases): Infra-pectineal plating

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Double (Investigator, Outcomes Assessor) Patients and physicians allocated to each intervention group were aware of the allocation; however, the data analysts and the outcome assessors were kept blinded to the allocation.

Study Groups

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supra-pectineal quadrilateral buttress plating

Patients treated by supra-pectineal quadrilateral buttress plating through anterior intrapelvic approach

Group Type ACTIVE_COMPARATOR

suprapectineal quadrilateral buttress plating

Intervention Type PROCEDURE

15 cases will undergo anatomical supra-pectineal quadrilateral plate

Infrapectineal plating

Patients treated by infra-pectineal conventional plating applied on the medial wall through anterior intrapelvic approach

Group Type ACTIVE_COMPARATOR

Infra-pectineal plating

Intervention Type PROCEDURE

15 cases will undergo conventional manually contoured infra-pectineal plate

Interventions

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suprapectineal quadrilateral buttress plating

15 cases will undergo anatomical supra-pectineal quadrilateral plate

Intervention Type PROCEDURE

Infra-pectineal plating

15 cases will undergo conventional manually contoured infra-pectineal plate

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Anterior column fracture acetabulum with QLS involvement
* Anterior column posterior hemi-transverse fracture acetabulum with QLS involvement
* Age between 16-60 years' old

Exclusion Criteria

* Open fractures
* Associated pelvic ring injuries that require intervention
* Associated internal organ injuries that require intervention
* Age less than 14 years and older than 60 years

Minimum Eligible Age

16 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes