MedPath

Types of Fixation of Vancouver B1 Periprosthetic Fractures

Not Applicable
Conditions
Femur Fractures
Registration Number
NCT01354535
Lead Sponsor
Unity Health Toronto
Brief Summary

The purpose of this study is to compare two different but standard treatments for the fixation of Vancouver B1 periprosthetic. The investigators aim to compare open reduction internal fixation using a locked plating system versus plating and strut allograft with cerclage wiring to determine which treatment results in a faster return to function as measured by the TUG test at 6 weeks post-op.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
89
Inclusion Criteria
  • Age: over 18, no upper limit
  • Vancouver type B1 periprosthetic fracture
  • Fracture is amenable to either treatment group
  • Prosthesis is well fixed
  • Provision of informed consent
Exclusion Criteria
  • Presence of an active infection around the fracture (soft tissue or bone)
  • Loose prosthesis
  • Trauma patients with an ISS > 16 or associated major injuries of the lower extremities
  • Known substance abuse
  • Likely problems, in the judgment of the investigators, with maintaining follow-up (i.e., patients with no fixed address, report a plan to move out of town, or intellectually challenged patients without adequate family support)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
TUG test score at 6 weeks post-op6 weeks

We will administer the TUG test to each patient at 6 weeks to determine if there is a difference in functional status between both groups.

Secondary Outcome Measures
NameTimeMethod
Re-operation rates1 year

We will measure rates of re-operationin each of the treatment groups on study specific case report forms.

Trial Locations

Locations (1)

St. michael's Hospital

🇨🇦

Toronto, Ontario, Canada

St. michael's Hospital
🇨🇦Toronto, Ontario, Canada
Milena Vicente, RN, CCRP
Contact
416-864-6060
vicentem@smh.ca
Emil Schemitsch, MD, FRCS(C)
Principal Investigator
Aaron Nauth, MD, FRCSC
Sub Investigator

MedPath

Empowering clinical research with data-driven insights and AI-powered tools.

© 2025 MedPath, Inc. All rights reserved.