A New Decisional Tree for the Management of Acetabular Fractures : Monocentric Observational Study

Recruiting

• Conditions: Management of Acetabular Fractures

• Registration Number: NCT06338228
• Lead Sponsor: University Hospital, Grenoble

Brief Summary

Acetabular fractures are challenging fractures to treat. Many fracture patterns occur, in a deep anatomical area surrounded by numerous vascular and nervous elements, generally in a polytraumatic context . A reduction with less than 2 mm of incongruence is generally considered acceptable, limiting post-operative osteoarthritis that could rapidly require total hip arthroplasty. Due to the long learning curve, this surgery is limited to large reference centers

. In the last twenty years, the main series published in the literature are small series due to the rarity of the fractures and their trauma context (loss of follow-up, polytrauma patients...). The large variety of fracture patterns according to the Letournel classification creates a spread in patient distribution and decreases the power of statistical analysis. That is the reason why big series are rare and only a few of them allow significant conclusions . The other studies are meta-analyses with their limitations

The lack of consensus makes it difficult to interpret the results between series, so the investigators developed a decision tree to address this knowledge gap.

The aim of this study is to assess and compare the results of a decisional tree for acetabular fracture in a large cohort of patients from a well-known experimental trauma center.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2024-02-14
• Status Verified: 2024-03
• Study Start: 2024-03-01
• Study First Submitted QC: 2024-03-26
• Last Update Submitted: 2024-03-26
• Study First Posted: 2024-03-29
• Last Update Posted: 2024-03-29
• Primary Completion: 2025-03-01
• Study Completion: 2025-03-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 250

Inclusion Criteria

• Adult patient at the time of injury
• Acetabular fracture
• Pre-operative standard X-ray image
• Pre-operative CT image
• Post-operative X-ray standard image (AP-alar and obturator views)
• Post-operative CT scan.
• Willingness and ability to participate in the study

Exclusion Criteria

• Ipsilateral fracture femoral and/or associated pelvic ring fracture (Floating Hip C or B)
• Pregnant, lactating women
• Subject under administrative or judicial supervision

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The main objective of the study is to evaluate and compare the results of a decision tree for the management of acetabulum fractures (also called acetabulum) in a large cohort of patients from the trauma center at Grenoble University Hospital	1 year	Clinical results according to the Postel-Merle d'Aubigné score (PMA)

Secondary Outcome Measures

Name	Time	Method
Propose a new assessment of the traumatic hip joint based on PROMs (Patient Reported Outcomes Measures) via a dedicated digital application (Orthense by Digikare)	1 year	Epidemiological data based on PROMs (Patient Reported Outcomes Measures) via a dedicated digital application (Orthense by Digikare)
Compare clinical and radiological findings with the literature	1 year	Clinical outcomes according to radiological scores
Evaluation of Outcomes and Complications of Early Weight Bearing in Older Adults	1 year	Complications intra-operative and postoperative (including complications of early weight bearing)
Define the prognostic factors associated with poor clinical outcomes and total hip replacement surgery	1 year	Prognostic factors from operative data

Trial Locations

Locations (1)

Grenoble Alpes University Hospital,La tronche; 🇫🇷 Grenoble, France