A Retrospective Study of Surgical Treatment of Congenital Pseudarthrosis of Tibia in China: a Muti-centre Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Congenital Pseudarthrosis of Tibia
- Sponsor
- Hunan Children's Hospital
- Enrollment
- 150
- Locations
- 1
- Primary Endpoint
- whether the tibial has obtained union
- Last Updated
- 5 years ago
Overview
Brief Summary
The study aims to evaluate the current methods of surgical treatment for Congenital Pseudarthrosis of tibia(CPT) in children and their results respectively.
Detailed Description
The study aims to evaluate the current surgical treatment and its result for Congenital Pseudarthrosis of tibia (CPT)in children in China. A retrospective study will be conducted with around 150 patients at 11 centers in China. This study will use available registry data from a defined time period of Jan 2006-Dec 2014. The treatment method will be recorded. The bone union rate and the refracture rate were calculated to evaluate the final result of several surgical treatment.
Investigators
Eligibility Criteria
Inclusion Criteria
- •The inclusion criteria consists of patients with congenital pseudarthrosis of Tibia who were surgical treated to obtain bone union.
Exclusion Criteria
- •Patients are complicated with mental, neurological disorders (such as hypoxic-ischemic encephalopathy, epilepsy and dementia) or significant barriers to growth.
- •Patients with pseudarthrosis of tibia caused by trauma, tumor,infection, etc
- •Children are complicated with dysfunction of liver and kidney , blood disorders, immune deficiency disease and ECG abnormalities.
Outcomes
Primary Outcomes
whether the tibial has obtained union
Time Frame: 9 months post-operation
Ohnishi criterion: Degree of union was evaluated by the findings on radiographs and classified into three grades( Ohnishi criterion): union, delayed union, and nonunion. Radiographic union was defined as possessing continuity of bone density between the fragments without obvious radiolucent zone between them and possessing cortex-bridging fragments with sufficient thickness and radiodensity on both anteroposterior and lateral radiographs. Delayed union was defined as a process of healing that was slow but was progressing. Nonunion was defined by the healing process that had completely ceased.
Secondary Outcomes
- clinical outcome measurement(Johnston clinical evaluation criterion)(9 months post-operation，the last follow up)
- Refracture of tibia(Time Frame: 1,2,3,4,5,6,7,8,9 years post-operation,the last follow-up)