The Sequence of Fixation in Tile C1.2 and C1.3 Vertical Shear Pelvic Ring Injuries.
NCT ID: NCT06792305
Last Updated: 2025-01-24
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
NA
30 participants
INTERVENTIONAL
2024-12-01
2025-12-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
CROSSOVER
TREATMENT
TRIPLE
Study Groups
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Group A will be fixed anteriorly first
Group A will consist of 15 patients and will be fixed anteriorly first.
Starting by anterior ring fixation in vertical shear pelvic ring injuries
The procedure will involve addressing the pelvic ring anteriorly with open reduction and internal fixation (ORIF) of the pubic rami and symphysis pubis by using a single 3.5 mm recon plate. The goal isto achieve anatomical reduction and stable fixation to restore the integrity of the pelvic ring. Fixation of the posterior ring will be achieved using a single sacroiliac screw in S1. The goal of posterior fixation is to achieve stability and alignment of the posterior pelvic structures.
Group B will be fixed posteriorly first
Group B: 15 cases, and will be fixed posteriorly first.
Starting by posterior ring fixation in vertical shear pelvic ring injuries
the procedure will involve fixation of the posterior ring which will be achieved by using a single sacroiliac screw in S1. Then open reduction and internal fixation (ORIF) of the pubic rami and symphysis pubis by using a single 3.5 mm recon plate.
Interventions
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Starting by anterior ring fixation in vertical shear pelvic ring injuries
The procedure will involve addressing the pelvic ring anteriorly with open reduction and internal fixation (ORIF) of the pubic rami and symphysis pubis by using a single 3.5 mm recon plate. The goal isto achieve anatomical reduction and stable fixation to restore the integrity of the pelvic ring. Fixation of the posterior ring will be achieved using a single sacroiliac screw in S1. The goal of posterior fixation is to achieve stability and alignment of the posterior pelvic structures.
Starting by posterior ring fixation in vertical shear pelvic ring injuries
the procedure will involve fixation of the posterior ring which will be achieved by using a single sacroiliac screw in S1. Then open reduction and internal fixation (ORIF) of the pubic rami and symphysis pubis by using a single 3.5 mm recon plate.
Eligibility Criteria
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Inclusion Criteria
2. Tile C1.2 and C1.3 pelvic ring injuries.
3. Pure anterior ring ligamentous injuries.
Exclusion Criteria
2. Tile C2 and C3 pelvic ring injuries.
3. Associated acetabular fracture that requires intervention.
18 Years
60 Years
ALL
No
Sponsors
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Ain Shams University
OTHER
Responsible Party
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Karim Atef Salem
Dr
Locations
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Ainshams University Hospitals
Cairo, , Egypt
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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No funds recieved
Identifier Type: OTHER
Identifier Source: secondary_id
FMASU R230/2024
Identifier Type: -
Identifier Source: org_study_id
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