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Recruiting NCT06792305

The Sequence of Fixation in Tile C1.2 and C1.3 Vertical Shear Pelvic Ring Injuries.

No phase Interventional Pelvic Ring Fractures Pelvic Ring Injury

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: Starting by anterior ring fixation in vertical shear pelvic ring injuries, Starting by posterior ring fixation in vertical shear pelvic ring injuries.
Who it may be relevant to
Registry conditions: Pelvic Ring Fractures, Pelvic Ring Injury. Basic parameters: 18 years — 60 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
Egypt
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

Official title

SEQUENCE OF FIXATION IN VERTICALLY UNSTABLE TILE C1.2 AND C1.3 PELVIC RING INJURIES: A PROSPECTIVE COMPARATIVE STUDY

Overview

The goal of this study is to compare the sequence of fixation in Vertically Unstable Tile C1.2 and C1.3 pelvic ring injuries, as regards clinical, radiological outcomes and implant failure rates. Our hypothesis is that starting with anterior ring fixation will achieve superior results as regards easier reduction, less operation time, and finally better radiological and functional outcomes when compared with starting with posterior ring fixation.

Interventions

  • Procedure Starting by anterior ring fixation in vertical shear pelvic ring injuries
    The procedure will involve addressing the pelvic ring anteriorly with open reduction and internal fixation (ORIF) of the pubic rami and symphysis pubis by using a single 3.5 mm recon plate. The goal isto achieve anatomical reduction and stable fixation to restore the integrity of the pelvic ring. Fixation of the posterior ring will be achieved using a single sacroiliac screw in S1. The goal of posterior fixation is to achieve stability and alignment of the posterior pelvic structures.
  • Procedure Starting by posterior ring fixation in vertical shear pelvic ring injuries
    the procedure will involve fixation of the posterior ring which will be achieved by using a single sacroiliac screw in S1. Then open reduction and internal fixation (ORIF) of the pubic rami and symphysis pubis by using a single 3.5 mm recon plate.

Primary outcome measures

  • Radiological outcome scores [Time frame: 12 months]
  • Clinical outcome score [Time frame: 12 months]
Secondary outcome measures (2)
  • Operative time in minutes. [Time frame: 3 hours]
  • Implant failure rate [Time frame: 12 months]

Eligibility criteria

Inclusion criteria

  • Age: 18 years - 60 years.
  • Tile C1.2 and C1.3 pelvic ring injuries.
  • Pure anterior ring ligamentous injuries.

Exclusion criteria

  • Bony fracture of the pubic rami.
  • Tile C2 and C3 pelvic ring injuries.
  • Associated acetabular fracture that requires intervention.

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
Crossover
Masking
Triple blind
Primary purpose
Treatment

Study locations

Egypt · 1 center
  • Ainshams University Hospitals — Cairo

Identifiers

NCT: NCT06792305 · FMASU R230/2024 · No funds recieved

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗