Comparison of Healing Measures Tibial Fractures Following Standard Intramedullary Nailing or Micromotion Tibial Intramedullary Nailing
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: micromotion intramedullary nail cohort, standard intramedullary nail cohort.
- Who it may be relevant to
- Registry conditions: Tibial Fractures. Basic parameters: 18 years — 85 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Comparison of Healing Measures in Diaphyseal Tibial Fractures Following Standard Intramedullary Nailing or Micromotion Tibial Intramedullary Nailing
Overview
The primary purpose of this study is to perform a high-quality randomized control trial comparing intramedullary tibial nail fixation with standard design nails to a micromotion tibial nail device, to evaluate the rates of union and post-operative outcomes.
Interventions
- Procedure micromotion intramedullary nail cohort
use of at least 2 distal interlocking screws and the use of a minimum of 1 proximal tibial interlocking screw - Procedure standard intramedullary nail cohort
use of at least 2 distal interlocking screws and the use of a minimum of 1 proximal interlocking screw
Primary outcome measures
- The difference in radiographic union [Time frame: 12,18 and 24 weeks between micromotion intramedullary fixation and standard IMN post operatively]
Secondary outcome measures (1)
- difference in complication rates [Time frame: 1 year post-operatively]
Eligibility criteria
Inclusion criteria
- Age 18 - 85 years
- Stable Tibial fracture recommended for surgical intervention
Exclusion criteria
- Patients not meeting inclusion criteria
- Unstable fracture patterns e.g. those needing a secondary intervention - masquelet/cement spacer)
- Previously non-ambulatory patients
- Delayed presentation of fracture (>4 weeks)
- Fractures that the treating surgeon indicates requires additional fixation strategies to achieve stability
- Patients with an achieve infection or wound at the surgical site
- Any previous ligament or fracture surgery on the index site
- Inflammatory rheumatic disease or other rheumatic disease-
- Immune compromised patients (hepatitis, HIV, etc.)
- Unwilling or unable to participate or follow study protocol
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
United States · 1 center
- University of Alabama at Birmingham Main Hospital — Birmingham
Identifiers
NCT: NCT06679049 · IRB-300013319 · UAB