Evaluation Der Intraoperativen Umsetzung Von 3D Geplanten Osteosynthesen Mit Patientenspezifischen Zielvorrichtungen Durch Eine Quantitative Postoperative Erfolgskontrolle
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Fracture of Humerus
- Sponsor
- Balgrist University Hospital
- Enrollment
- 7
- Locations
- 2
- Primary Endpoint
- 3D difference between preoperative plan and surgery
- Status
- Terminated
- Last Updated
- 6 years ago
Overview
Brief Summary
Goal of this study is to evaluate the accuracy of 3D computer-planned fracture fixation with patient-specific instruments for clavicle, upper extremity, lower extremity and pelvis fractures compared with the standard procedure of fracture fixation.
Detailed Description
The research hypothesis is: The medical product permits the fracture fixation of clavicle, upper extremity, lower extremity and pelvis fractures to be more accurate compared with standard procedures of fracture fixation. Accuracy is evaluated by calculating translation and rotation comparing the postoperative 3D model versus the preoperative 3D plan. Secondary outcome is an assessment of the surgical outcome using validated outcome instruments for each fractured body part like "Patient related wrist Evaluation" (PRWE) scores for distal radial fractures, as well as evaluation of range of motion.
Investigators
Eligibility Criteria
Inclusion Criteria
- •fracture of clavicle, upper extremity, lower extremity or pelvis,tibia, fibula,Femur, with indication for fracture Fixation
- •clinical indication for a computed tomography of the fractured bone
- •\>18 years of Age
- •Patient is able to give informed consent
Exclusion Criteria
- •pregnancy or nursing women
- •non-compliance of the patient to follow the clinical study protocol, drug abuse or alcohol abuse
- •participation in a different clinical Trial within the last 30 days before inclusion or during the study
- •allergy to Polyamid PA 2200
- •no available technique for fracture Fixation which could be performed, in case of applying the medical device is not possible.
- •Applying the medical device is not possible, because of technical or anatomical reasons.
- •other clinical significant accompanying symptoms (tumor, infection)
Outcomes
Primary Outcomes
3D difference between preoperative plan and surgery
Time Frame: 12 months
For each surgery the discrepancy of the postoperative result compared to the preoperative planning is calculated by measuring all 6 degrees of freedom (3xrotation, 3xtranslation). The discrepancy between a simulated perfect postoperative result and the actual postoperative result is assessed in degree (rotation) and millimeters (translation). These measures are used to compare the outcome of the two different study Groups.
Secondary Outcomes
- range of motion(12 months)
- surgical outcome assesed by validated outcome instruments(12 months)