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Bone Microcirculation After Extracorporeal Shock Wave Therapy

Not Applicable
Completed
Conditions
Fractured Metacarpal Bone
Intact Scaphoid Bone
Intact Metacarpal Bone
Fractured Scaphoid Bone
Registration Number
NCT02424084
Lead Sponsor
University Hospital Schleswig-Holstein
Brief Summary

In trauma surgery and hand surgery treatment strategies of none healing bone fractures aim at replacing pseudarthrosis by well vascularized bone and improving microcirculation. Although previous studies indicate that extracorporeal shock wave therapy (ESWT) can accelerate bone healing in case of non-union, only a few studies focused on the elucidation of its mechanisms of action. Therefore, the aim of this study is to evaluate the microcirculatory effects of extracorporeal shock wave therapy on scaphoid bones and metacarpal and metatarsal in a human in-vivo setting for the first time.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
80
Inclusion Criteria
  • Group A (n=20): Consent-capable male and female patients ≥18 years of age who have an intact scaphoid.
  • Group B (n=20): Consent-capable male and female patients ≥18 years of age who have an intact metacarpal bone.
  • Group C (n=20): Consent-capable male and female patients ≥18 years of age who have a fractured scaphoid.
  • Group D (n=20): Consent-capable male and female patients ≥18 years of age who have a fractured metacarpal bone.
Exclusion Criteria
  • below 18 years of age
  • scar tissue above scaphoid or metacarpal bone
  • osteoporosis or comparable bone disease
  • medication that influences bones

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Change in microcirculation (composite outcome measure)Baseline and 1 minute post-dose

* Bone blood flow \[arbitrary units AU\]

* Bone blood velocity \[AU\]

* Tissue oxygen saturation \[%\]

* Relative postcapillary venous filling pressure \[AU\] (Composite outcome measure)

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

University of Schleswig-Holstein

🇩🇪

Lübeck, Schleswig-Holstein, Germany

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