No registrations found.
ID
Source
Brief title
Health condition
Malunion after both-bone forearm fracture with severe limation of pronation/supination
Sponsors and support
Intervention
Outcome measures
Primary outcome
-Postoperative pronation and supination
Secondary outcome
- Postoperative pain relief;
- Postoperative cosmetic improvement;
- Relationship between clinical and radiological outcomes;
- Accuracy of MRI as a planning tool;
- Preoperative MRI for imaging soft tissue scarring;
- Accuracy calculation of true angulation based on preoperative CT and X-rays.
Background summary
The fractura antebrachii (a fracture of both radius and ulna) is one of the most common fractures in children. Fractures with too much displacement are repositioned and stabilized with pens and/or a plaster cast to effect fracture healing. In 30% of the children treated with a plaster cast only, secondary displacement of the fracture occurs. If this displacement is not corrected on time, it can cause a malunion. A malunion can result in pain and functional and cosmetic complaints. A malunion is diagnosed with conventional x-rays and can be showed 3-dimensional by a computer tomography (CT).
A malunion after fractura antebrachii can be improved by a correction osteotomy. In this procedure, the radius and the ulna are re-broken (osteotomy) to restore the anatomy. However, given the complexity of this surgical procedure, many (orthopedic) surgeons are reserved to perform a correction osteotomy of the forearm. With this study, we want to plan the correction osteotomy preoperatively with the help of patient-specific templates based on the unaffected arm using computer models. With this technique, we try to reduce the complexity of the surgery and make the surgery more predictable.
Study objective
Improvement in forearm rotation.
Study design
Baseline, 12 months
Intervention
Three-dimensional corrective osteotomy of both bones of the forearm with preoperative planning and using patient-specific templates.
J.W. Colaris
Postbus 2040
Rotterdam 3000 CA
The Netherlands
+31 (0)10 7034686
j.colaris@erasmusmc.nl
J.W. Colaris
Postbus 2040
Rotterdam 3000 CA
The Netherlands
+31 (0)10 7034686
j.colaris@erasmusmc.nl
Inclusion criteria
- Malunion after both-bone forearm fracture
- Pronation or supination <50ยบ
- Age > 10 years
- Complaints of the forearm
Exclusion criteria
- Non-anatomic position of the contralateral arm based on congenital or acquired abnormalities;
- Non-anatomic position of the affected arm based on congenital or acquired non-traumatic abnormalities.
Design
Recruitment
IPD sharing statement
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL6324 |
| NTR-old | NTR6499 |
| Other | Erasmus MC : MEC-2015-606 |