Pelvic Ring Fractures: New Analysis Method and Treatment Decision Algorithm

Completed

• Conditions: Pelvic Fracture

• Registration Number: NCT04217499
• Lead Sponsor: Fondation Hôpital Saint-Joseph

Brief Summary

Pelvic ring fractures are common and often the result of high energy trauma but also sometimes of lower energy trauma in older patients. A good classification and description of the fracture is essential to the choice of treatment.

The classifications used to describe these fractures are numerous (Tile modified AO, Young and Burgess, Letournel, Rommens) and of a descriptive order more or less depending on the lesion mechanism allowing some to orient the surgical reduction technique. However, none of them helps with the choice of surgical or functional treatment, which is currently based on obvious notions of instability and / or displacement of lesions and, by habit, all different services.

In addition, the complexity of these classifications leads to poor reproducibility of these.

A new method for analyzing unitary lesions has been developed in the Orthopedic Surgery department of the Paris Saint-Joseph Hospital Group with a rating system which determines the indication according to the score.

Teaching this new method of analyzing pelvic ring fractures would simplify decision making between surgical and functional treatment.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2019-12-31
• Study First Submitted QC: 2019-12-31
• Study First Posted: 2020-01-03
• Study Start: 2020-01-31
• Primary Completion: 2020-02-28
• Study Completion: 2022-04-26
• Status Verified: 2023-04
• Last Update Submitted: 2023-04-26
• Last Update Posted: 2023-04-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 35

Inclusion Criteria

• Patient aged> 18 years
• Patient treated or followed within the Orthopedic Surgery service of the GHPSJ for a pelvic ring fracture
• complete initial imaging patient record (scanner)
• French speaking patient

Exclusion Criteria

• Patients under guardianship or curatorship
• Patients deprived of their liberty
• Patients objecting to the use of their data for this research
• Patient with isolated sacral or acetabular fracture
• Absence of scanner during the initial assessment

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
State of play of the decision for surgical sanction of pelvic ring fractures	Day 1	This corresponds to the number of patients for whom surgical decisions have been made.

Secondary Outcome Measures

Name	Time	Method
Impact of the teaching of the new method of analysis on the surgical decision within each group	Day 1	This corresponds to the number of files for which surgical decision-making was modified before and after teaching of the new method of analysis.
Reproducibility of this intra and inter-group decision before and after teaching	Day 1	This corresponds to the number of files for which surgical decision-making was modified before and after teaching of the new method of analysis in intra and inter-group.

Trial Locations

Locations (1)

Groupe Hospitalier Paris Saint-Joseph; 🇫🇷 Paris, France