Rim Plate to Buttress Plate for Posterior Wall Acetabular Fractures With and Without Inter-fragmentary Screws

Launched by UNIVERSITY OF CINCINNATI · May 7, 2024

Keywords

ClinConnect Summary

This clinical trial is studying a new method for treating certain types of hip fractures, specifically fractures of the back part of the hip socket, known as the acetabulum. The researchers want to see if using a special plate called a Rim Plate, along with screws that help hold the fractured pieces together, leads to better healing and less pain compared to standard treatments. They hope this method will help people recover more effectively and avoid complications like arthritis in the joint.

To participate in the study, individuals must be at least 18 years old and younger than 65, with a specific type of hip fracture caused by a recent injury. They should have been able to walk before the injury, with or without help, and need to have surgery within 14 days of their injury. Not everyone can join; for example, those with certain bone diseases or previous hip issues may not be eligible. Participants can expect to receive care related to their fracture and will be closely monitored throughout the study to track their recovery and any outcomes related to their hip joint function.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Skeletally mature males and females, ≥ 18 years old and with age less than 65 years.
• • 2. Fracture of the acetabular posterior wall fracture due to acute traumatic hip dislocation, confirmed with anteroposterior pelvic or hip radiographs, and CT scan
• • 3. Operative fixation of fractures within 14 days of presenting to the emergency room.
• • 4. Patient was ambulatory prior to fracture, with or without walking aids
• • 5. Medically optimized for operative intervention
• • 6. Provision of informed consent by patient or legal guardian.
• Exclusion Criteria:
• • 1. Patients not suitable for internal fixation (severe osteoarthritis, rheumatoid arthritis, or pathologic fracture).
• • 2. Pre-existing orthopedic fixation, implant, or prosthesis around the affected acetabulum.
• • 3. Patients with metabolic bone disease including diagnosis of osteoporosis.
• • 4. Patients with bony or soft tissue infections around the acetabulum.
• • 5. Patients unable to provide informed consent.
• • 6. Patients having other fractures of Pelvis or acetabulum other than an isolated posterior acetabular wall fracture.
• • 7. Patients with previous history of acetabular fracture (operative or nonoperative)
• • 8. Patients with previous history of hip pathology such as avascular necrosis, hip dysplasia, Legg-Calve Perthes Disease, or advanced degenerative arthritis.