Pilot Study for a Randomized Control Trial Comparing the Cost of a Simplified Post-Operative Radiographic (SPOR) Protocol for Fractures With Stable Internal Fixation Treated at Health Sciences Centre
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 39
- 试验地点
- 2
- 主要终点
- cost-effectiveness of a simplified post-operative radiographic protocol for selected fractures
研究概览
简要总结
The standard post-operative radiographic protocol for the monitoring of fractures at HSC includes post-operative in hospital radiographs as well as radiographs at the two week follow up appointment. This is in addition to good quality intra-operative radiographs. With current operative techniques and implants, orthopaedic surgeons can achieve reliably stable internal fixation. In fact, patients are often allowed to take weight through the fractured limb immediately post-operatively. In these cases, redundant post-operative radiographs likely represent an avoidable cost to the system financially, and an avoidable cost to the patient in additional time spent in hospital and unnecessary radiation exposure.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Care Provider)
入排标准
- 年龄范围
- 17 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Femur fracture treated with intramedullary nailing
- •Tibia fracture treated with intramedullary nailing
- •Ankle fractures treated with standard compression technique
- •Humeral shaft fractures treated with standard compression technique
- •Forearm fractures treated with standard compression technique
- •One or both bones fractured
- •Simple fracture or presence of single butterfly fragment treated with lag screw
- •Clavicle fracture treated with standard compression technique
- •Olecranon fracture treated with standard compression technique
排除标准
- •Age < 17 years, or open growth plates
- •Multiple orthopaedic fractures
- •History of radiographic appearance of osteoporosis or osteopenia or poor operative bone quality
- •Likely difficult with follow-up in first 6 weeks
- •Same day surgery case
- •Surgeon feels patient should be excluded
结局指标
主要结局
cost-effectiveness of a simplified post-operative radiographic protocol for selected fractures
时间窗: post-operative day one or two in hospital, as well as in clinic at two and six weeks
Cost-effectiveness will be measured by calculating cost of x-ray, patient care and time spent by patient in clinic.
次要结局
- Patient satisfaction(At six weeks post-op)