Ignite Creation Date:
2024-05-06 @ 8:11 PM
Last Modification Date:
2024-10-26 @ 3:22 PM
Study NCT ID:
NCT06288139
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-03-01
First Post:
2024-02-21
Brief Title:
Management of Open Fracture Tibia in Teenagers
Sponsor:
Assiut University
Organization:
Assiut University
Study Overview
Official Title:
Management of Open Fracture Tibia in Teenagers in Assiut University Hospital
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-02
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The aim of this study is to study the incidence of open tibial fractures in early teenagers and evaluate the management outcomes
Detailed Description:
Tibial fractures are the third most common long bone fracture after the femur and forearm representing 15 of all pediatric fractures Tibial fracture is a common injury in children and it usually involves the diaphysis and distal metaphyseal region Open fracture tibia must be considered orthopedic emergencies due to the high risk of contamination osteomyelitis malformation nonunion and disability The anteromedial aspect of the tibia is subcutaneous with no overlying musculature for protection and the middledistal tibia has no muscular origins which can delay union in these areas The biology of the repair of fractures in children differs from that in adults in several ways The soft tissues have excellent healing capacity uncontaminated devitalised bone is salvageable and periosteum in children can regenerate bone in the presence of bone loss Union is faster Modalities of treatment of open fracture tibia in teenagers Including Closed reduction followed by a well- molded casting debridement followed by casting utilization of external fixator EF remains a popular choice for open injuries Severely comminuted and unstable fractures and those with significant soft tissue or vascular injury require external fixation However pin tract infection PTI and refracture are common complications during the application of EF Elastic Nail has also been reported with an acceptable for the treatment of open tibial fractures
open reduction and internal fixation ORIF was reserved for situations in which an adequate reduction could not be obtained or maintained by conservative Also Closed reduction and intramedullary nail fixation appropriate for the treatment of extraarticular distal tibial fractures
open reduction and internal fixation ORIF was reserved for situations in which an adequate reduction could not be obtained or maintained by conservative Also Closed reduction and intramedullary nail fixation appropriate for the treatment of extraarticular distal tibial fractures
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None