Study of Tibial Shaft Fractures in Children
Completed · Not applicable
Conditions studied: Tibial Shaft Fractures in Children
In brief
Tibial shaft fracture is one of the most common fractures in children and adolescents. It encompasses approximately 15 % of all long-bone fractures and is third behind only fractures of the femur and both bones of the forearm. (2). Although most authorities agree that closed tibial shaft fractures are best treated by immobilization in a long-leg cast, there is no clear consensus as to when to allow weight bearing on the injured extremity. While most recent articles have recommended long-leg casts with the knee bent in flexion of 30-60 degrees to preclude weight-bearing(1,2,3,4), other authors have recommended much less flexion, 0-5 degrees, to encourage early weight bearing.(5). The purpose of this randomized controlled prospective study is to determine if the position of immobilization of the knee influences the rate of healing, delayed union, and nonunion As well, we will assess if the type of immobilization affects the function of the patient during the period of treatment using the Activities Scale for Kids - Performance (ASK-P) child self-report musculoskeletal outcome measure . A minimum of 36 patients in each group for a total of 72 patients between 4 and 14 years of age (open physis) with closed fractures of the tibia, with or without fracture of the fibula, will be included in the study
Key facts
- Study ID
- NCT01238523
- Run by
- University of California, Los Angeles
- People needed
- 81
- Starts
- 2007-05-01
- Expected to finish
- 2010-05-01
- Last updated by the study team
- 2017-08-17
Who can join
Age: 4 and older, up to 14. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Patients between 4 and 14 years of age (open physis)
- Patients seen at the Los Angeles Orthopaedic Medical center within 7 days of the original injury
- All closed tibia and tibia and fibula shaft fractures regardless of fracture pattern
You may not qualify if…
- Fractures with greater than 2 cm of initial shortening
- Open fractures
- Patients that have other orthopaedic medical issues such as hemophilia
Where it is running
- Los Angeles Orthopaedic Hospital — Los Angeles, California, United States
Full record on ClinicalTrials.gov
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