Animated video to reduce pain and anxiety during pin removal after supracondylar elbow fracture fixation
Animated Procedure Video Reduces Pain and Anxiety Among Pediatric Patients Undergoing Pin Removal Following Supracondylar Fracture Fixation - A Randomized Controlled Trial
We will try showing an animated video to children aged 4–12 during pin removal after supracondylar fracture fixation to see if it lowers pain and anxiety.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 120 (estimated) |
| Ages | 4 Years to 12 Years |
| Sex | All |
| Sponsor | Liaquat National Hospital & Medical College Academic / other |
| Locations | 1 site (Karachi, Sindh) |
| Trial ID | NCT07234396 on ClinicalTrials.gov |
What this trial studies
This is a randomized, two-arm intervention enrolling pediatric patients (ages 4–12) undergoing K‑wire (pin) removal after percutaneous fixation of supracondylar fractures. One group will watch an animated video of the procedure during pin removal while the control group receives standard care without the video. Pain and anxiety scores will be recorded before, during, and after the procedure using validated scales. The primary comparison will be the change in pain and anxiety between the two arms.
Who should consider this trial
Good fit: Children aged 4–12 who had percutaneous K‑wire fixation for supracondylar fractures and are scheduled for pin removal, without syndromic conditions, visual or cognitive impairments, perioperative complications, or need for general anesthesia.
Not a fit: Children under 4 or over 12, those with syndromic conditions, visual or cognitive disabilities, perioperative complications, or those having pin removal under general anesthesia are unlikely to be eligible or to benefit from this approach.
Why it matters
Potential benefit: If successful, this low-cost distraction method could reduce pain and anxiety for children during pin removal and make the procedure easier for patients and staff.
How similar studies have performed: Distraction techniques such as videos and virtual reality have previously reduced procedural pain and anxiety in children, but using a procedure-specific animated video for K‑wire removal is a relatively novel application.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients with supracondylar fractures operated on for percutaneous K-wire fixation. * Age between 4 to 12 years Exclusion Criteria: * Any syndromic patients * Patients having any visual or cognitive disability * Patients having any pre-operative or post-operative complications before pin removal. * Patients undergoing the procedure under general anesthesia. * Age \<4 or \>12
Where this trial is running
Karachi, Sindh
- Liaquat National Hospital — Karachi, Sindh, Pakistan (Recruiting)
Study contacts
- Principal investigator: Mohammad Nabeel Aamir Syed, MBBS, MD
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.