Lymphomyosot for Ankle Edema Following Fracture

Phase 2

Suspended

• Conditions: Ankle Injuries; Fracture
• Interventions: Drug: Lymphomyosot; Drug: Placebo remedy

• Registration Number: NCT00884988
• Lead Sponsor: Shaare Zedek Medical Center

Brief Summary

Ankle fractures are invariably complicated by severe soft-tissue swelling which can significantly prevent surgical repair (open reduction and internal fixation - ORIF) of the fractured bone for up to two weeks. The delay in surgical treatment can increase the risk for local skin and bone complications, as well as for deep venous thrombosis. Lymphomyosot® is a non-prescription, homeopathic complex drug which has been used for more than 70 years throughout Europe and the U.S., primarily for tissue edema and swelling.

This is a randomized, placebo-controlled, double blind pilot study evaluating the effectiveness of homeopathic combination drug Lymphomyosot® compared to placebo treatment. The study will take place at the Shaare Zedek Medical Center in Jerusalem, Israel. Adult patients (age 18 years and older) admitted to the orthopedic department with acute ankle fractures which require ORIF repair will be assessed for inclusion in this study.

The primary outcome measure to be evaluated is the fracture-ORIF waiting period. Other measures to be evaluated are: peri-malleolar circumference; pain (as measured by NRS and analgesic use); duration of hospital stay; and complications such as poor wound healing, blisters, and the development of deep vein thrombosis.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2009-04-19
• Study First Submitted QC: 2009-04-20
• Study First Posted: 2009-04-21
• Study Start: 2010-02
• Status Verified: 2012-02
• Last Update Submitted: 2012-02-19
• Last Update Posted: 2012-02-22
• Primary Completion: 2012-12

Recruitment & Eligibility

• Status: SUSPENDED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• 18 years of age and older
• patients with a fracture of the ankle requiring ORIF
• signed informed consent form.

Exclusion Criteria

• refusal or inability to give informed consent
• bilateral fractures of the foot or ankle, open fractures, poly-trauma, contralateral limb amputation
• currently on anticoagulation therapy
• clinical indication for immediate surgery.
• ability to undergo surgery on the day of the fracture , or where soft-tissue edema was not the cause which prevented immediate surgery
• any additional injury that prevents partial weight-bearing.
• a concomitant fracture of another long bone in the ipsilateral leg
• if the patient suffers from a systemic disease such as diabetes, malignant tumor, severe peripheral vasculopathy, and/or metabolic disease
• concurrent participation in another study
• inability to comply with the study protocol

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Lymphomyosot	Lymphomyosot	homeopathic remedy
Placebo remedy	Placebo remedy	identical in color, constituency and taste to true remedy

Primary Outcome Measures

Name	Time	Method
To compare the effect of Lymphomyosot on the duration of time from fracture to ORIF surgery, to placebo medication.	3 weeks

Secondary Outcome Measures

Name	Time	Method
To compare the effect of Lymphomyosot® on the development of peri-malleolar edema following ankle fracture surgery, to placebo medication.	3 weeks
To compare the effect of Lymphomyosot on pain following ankle fracture, to placebo medication.	3 weeks
To compare the effect of Lymphomyosot on Hospitalization time between the verum and the placebo group.	3 weeks
To compare the effect of Lymphomyosot on complication rate (wound healing disturbance, wound infection, blistering, deep vein thrombosis).	3 weeks

Trial Locations

Locations (1)

Shaare Zedek Medical Center; 🇮🇱 Jerusalem, Israel