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Periprosthetic Fracture Registry (PPFx)

Recruiting
Conditions
Periprosthetic Fracture Around Prosthetic Joint Implant
Periprosthetic Fractures
Registration Number
NCT03378557
Lead Sponsor
AO Innovation Translation Center
Brief Summary

This registry supports international data collection and research on PPFx treatments after hip and knee arthroplasty.

A registry such as this ultimately aims to provide far-reaching benefits to society including reduced morbidity and mortality, improved patient safety, improved quality of care and medical decision-making, reduced medical spending, and advances in orthopaedic science.

Detailed Description

To close the gap of missing clinical evidence regarding the treatment of periprosthetic fractures after arthroplasty of the hip or the knee with osteosynthesis.

To drive further study hypotheses and to answer unforeseen questions.

Main questions to be answered by the registry include (but are not exclusive) the following:

1. Influence of implants on outcome

2. Influence of surgical techniques on outcome

3. Influence of bone grafting on outcome

4. Identification of risk factors for failure

5. Identification of postoperative rehabilitation programs and its possible influence on the outcome

6. Influence of fracture type on outcome

7. To serve as a comparative dataset for future studies with improved implants and techniques

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
600
Inclusion Criteria
  • Age ≥18 years

    • Post-operative PPFx after total or hemi hip or total or unicondylar knee arthroplasty (including the acetabulum, femur, patella and proximal tibia) requiring

      • osteosynthesis alone or
      • component revision plus plate/nail osteosynthesis
    • Informed consent obtained, i.e.:

      • Ability of the patient or assigned representative to understand the content of the patient information / Informed Consent Form
      • Signed and dated EC / IRB approved written informed consent
    • Ability to attend post-operative follow up visits

Exclusion Criteria
  • Pregnancy or women planning to conceive within the study period
  • Prisoner

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Classification of the fracturePre-operatively (Day -1)

Classification of the fracture using the UCS and some parts of the AO/OTA fracture classification system.

Secondary Outcome Measures
NameTimeMethod
Function of hip or kneeUp to 12 months

Harris Hip Score or Knee Society score

Fracture healingUp to 12 months

by RUSH or RUST score

pain visual analog scale (VAS) and pain medicationUp to 12 months

Using the pain visual analog scale (VAS) and pain medication

Fracture mechanismPre-operatively (Day -1)

High / low energy trauma, pathological fracture, stem stability

Health related quality of lifeUp to 12 months

PROMIS pain interference and physical activity

Rehabilitation programUp to 12 months

weight bearing, bedrest, splint

Trial Locations

Locations (13)

Charité Universitätsmedizin Berlin

🇩🇪

Berlin, Germany

BG-Unfallklinik Ludwigshafen

🇩🇪

Ludwigshafen, Germany

Universitätsklinikum Münster

🇩🇪

Münster, Germany

Hospital Universitario Son Llàtzer

🇪🇸

Palma De Mallorca, Spain

Universitätsspital Basel

🇨🇭

Basel, Switzerland

Kantonspital Baselland

🇨🇭

Liestal, Switzerland

Universitätsspital Zürich

🇨🇭

Zürich, Switzerland

University of Missouri Health Care

🇺🇸

Columbia, Missouri, United States

Jersey City Medical Center RWJ Barnabas Health

🇺🇸

Jersey City, New Jersey, United States

Saint Barnabas Medical Center Livingston

🇺🇸

Livingston, New Jersey, United States

Vanderbilt University Medical Center

🇺🇸

Nashville, Tennessee, United States

Universitaire Ziekenhuiven Leuven

🇧🇪

Leuven, Belgium

Hospital Santa Clara

🇨🇴

Bogotá, Colombia

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