Comparing two surgical methods for fixing acetabular fractures
A Randomized Prospective Study Comparing Rim Plate to Buttress Plate for Posterior Wall Acetabular Fractures With and Without Inter-fragmentary Screws
This study is testing two different surgical methods for fixing hip fractures to see which one helps patients heal better and reduces complications.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 60 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | University of Cincinnati Academic / other |
| Locations | 1 site (Cincinnati, Ohio) |
| Trial ID | NCT06409559 on ClinicalTrials.gov |
What this trial studies
This clinical trial investigates two surgical techniques for fixing posterior wall acetabular fractures: the Rim Plate method with interfragmentary screws and the Buttress Plate method without screws. The study aims to determine which method provides better fixation, reduces the risk of fracture displacement, promotes better healing of the joint surface, and minimizes early post-traumatic arthritis. A total of 60 skeletally mature patients with acute traumatic fractures will be randomly assigned to one of the two treatment groups. The outcomes will be assessed to evaluate the effectiveness of each surgical approach.
Who should consider this trial
Good fit: Ideal candidates are skeletally mature individuals aged 18 to 65 with acute posterior wall acetabular fractures due to hip dislocation.
Not a fit: Patients with severe osteoarthritis, metabolic bone diseases, or those unsuitable for internal fixation will not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to improved surgical outcomes and functional recovery for patients with acetabular fractures.
How similar studies have performed: While similar surgical techniques have been explored, this specific comparison of the Rim Plate and Buttress Plate methods is novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Skeletally mature males and females, ≥ 18 years old and with age less than 65 years. 2. Fracture of the acetabular posterior wall fracture due to acute traumatic hip dislocation, confirmed with anteroposterior pelvic or hip radiographs, and CT scan 3. Operative fixation of fractures within 14 days of presenting to the emergency room. 4. Patient was ambulatory prior to fracture, with or without walking aids 5. Medically optimized for operative intervention 6. Provision of informed consent by patient or legal guardian. Exclusion Criteria: 1. Patients not suitable for internal fixation (severe osteoarthritis, rheumatoid arthritis, or pathologic fracture). 2. Pre-existing orthopedic fixation, implant, or prosthesis around the affected acetabulum. 3. Patients with metabolic bone disease including diagnosis of osteoporosis. 4. Patients with bony or soft tissue infections around the acetabulum. 5. Patients unable to provide informed consent. 6. Patients having other fractures of Pelvis or acetabulum other than an isolated posterior acetabular wall fracture. 7. Patients with previous history of acetabular fracture (operative or nonoperative) 8. Patients with previous history of hip pathology such as avascular necrosis, hip dysplasia, Legg-Calve Perthes Disease, or advanced degenerative arthritis.
Where this trial is running
Cincinnati, Ohio
- University of Cincinnati College of Medicine — Cincinnati, Ohio, United States (Recruiting)
Study contacts
- Study coordinator: Kimberly A Hasselfeld
- Email: hasselky@uc.edu
- Phone: 5135581933
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.