Ignite Creation Date:
2024-10-25 @ 7:48 PM
Last Modification Date:
2024-10-26 @ 3:40 PM
Study NCT ID:
NCT06591585
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-09-08
Brief Title:
Midterm Follow up of Pediatric Pelvic Fracture Management at Assiut University Hospital
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Midterm Follow up of Pediatric Pelvic Fracture Management at Assiut University Hospital
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Midterm radiographic and function follow up of pediatric pelvic fractures managed at Assiut University Hospital AUH with a minimum of 3 years Analysis of all recorded cases of pediatric Pelvic Fracture in AUH trauma unit from 2015 until june 2024
Detailed Description:
Pelvic fractures in children as a result of trauma are uncommon and typically follow high-energy trauma 1
Due to flexible sacroiliac joints SIJs and symphysis pubis the young pediatric skeleton has inherent flexibility which makes pediatric pelvic fractures PPFs different from adult pelvic fractures Additionally the cartilaginous cover serves as a shock absorber 2
Since the young skeleton can remodel nonsurgical therapy has been the norm for PPF nevertheless this has resulted in a number of long-term problems such as nonunion malunion scoliosis and pelvic asymmetry Children with unstable pelvic fractures may experience chronic neurological impairment low back pain persistent pain and limping in up to 30 of cases 2 Several factors determine whether to treat these fractures surgically or nonsurgically Initially the physiological age of the patient AOOTA classification divides pelvic fractures into three basic types
Type A pelvic fractures does not involve the posterior arch stable whereas type B results from rotational forces that cause partial posterior complex disruption rotationally unstable In type C there is complete posterior complex disruption rotationally and vertically unstable
According to a study established by the German Trauma Society DGU and the German Section of the Association for Osteosynthesis Association for the Study of Internal Fixation AOASIF International in 1991 The registry provides data on all patients suffering pelvic fractures within a 14-year time frame They identified a total of 9684 patients including 1433 pelvic fractures in children aged 17 years in pelvic factures of Type A Tile classification of pelvic fractures a standard mortality ratio SMR The standardized mortality ratio is the ratio of observed deaths in the study group to expected deaths in the general population of 076 was recorded in Type B fractures 065 and in Type C fractures 079 3
In our institute Assiut University Hospital Trauma Unit pelvic fracture cases were recorded from 2015 until june 2023 2041 cases of pelvic fracture were recorded 222 of those cases belong to age group below 17 years so pediatric pelvic fractures represent 1087 of all recorded pelvic fractures
The main question in our research proposal according to protocol discussion is what happens after pelvic fracture in pediatric cases as regards to deformities and can remodelling in pediatrics fix these deformities and what is the effect of these deformities on function later on
Due to flexible sacroiliac joints SIJs and symphysis pubis the young pediatric skeleton has inherent flexibility which makes pediatric pelvic fractures PPFs different from adult pelvic fractures Additionally the cartilaginous cover serves as a shock absorber 2
Since the young skeleton can remodel nonsurgical therapy has been the norm for PPF nevertheless this has resulted in a number of long-term problems such as nonunion malunion scoliosis and pelvic asymmetry Children with unstable pelvic fractures may experience chronic neurological impairment low back pain persistent pain and limping in up to 30 of cases 2 Several factors determine whether to treat these fractures surgically or nonsurgically Initially the physiological age of the patient AOOTA classification divides pelvic fractures into three basic types
Type A pelvic fractures does not involve the posterior arch stable whereas type B results from rotational forces that cause partial posterior complex disruption rotationally unstable In type C there is complete posterior complex disruption rotationally and vertically unstable
According to a study established by the German Trauma Society DGU and the German Section of the Association for Osteosynthesis Association for the Study of Internal Fixation AOASIF International in 1991 The registry provides data on all patients suffering pelvic fractures within a 14-year time frame They identified a total of 9684 patients including 1433 pelvic fractures in children aged 17 years in pelvic factures of Type A Tile classification of pelvic fractures a standard mortality ratio SMR The standardized mortality ratio is the ratio of observed deaths in the study group to expected deaths in the general population of 076 was recorded in Type B fractures 065 and in Type C fractures 079 3
In our institute Assiut University Hospital Trauma Unit pelvic fracture cases were recorded from 2015 until june 2023 2041 cases of pelvic fracture were recorded 222 of those cases belong to age group below 17 years so pediatric pelvic fractures represent 1087 of all recorded pelvic fractures
The main question in our research proposal according to protocol discussion is what happens after pelvic fracture in pediatric cases as regards to deformities and can remodelling in pediatrics fix these deformities and what is the effect of these deformities on function later on
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None