Treatment Of Supracondylar Fractures Closed Reduction And Circular Ring External Fixation Versus Open Reduction and Internal Fixation



Status:Recruiting
Conditions:Orthopedic
Therapuetic Areas:Orthopedics / Podiatry
Healthy:No
Age Range:12 - 18
Updated:4/21/2016
Start Date:March 2014
Contact:Mary Riordan
Phone:832-822-3100

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TREATMENT OF SUPRACONDYLAR FRACTURES IN ADOLESCENTS: CLOSED REDUCTION AND CIRCULAR RING EXTERNAL FIXATION VERSUS OPEN REDUCTION AND INTERNAL FIXATION

Patients treated with circular external fixation will have better outcomes (as measured by
range of motion (ROM), alignment, outcome surveys) than those treated with open reduction
and internal fixation (ORIF).

The purpose of this study is to compare patients who undergo ORIF versus circular external
fixation for supracondylar humerus fractures in children ages 12-18. We are asking parental
permission to collect information about their child's injury, x-rays, obtain ROM measures,
collect input from questionnaires, and review other medical information relating to the
injury.

The study is NOT about randomizing subjects to treatment, rather we are asking permission to
keep track of the decisions that are made about our population's treatment and how it
impacts their recovery.

The eligibility criteria is subject's between 12 and 18 years, if
supracondylar/periarticular humerus fracture needed operative fixation, and the fracture is
unable to be treated with percutaneous skeletal fixation. Patients will be excluded if they
have had a previous elbow injury, Osteogenesis imperfecta or another fragile bone disease,
elbow stiffness from another cause, or any pre-existing arm weakness.

The outcome measures all enrolled subjects will complete are the QuickDASH and the Pediatric
and Adolescent Outcomes Instruments (PODCI). The QuickDASH is a shortened version of the
DASH (Disabilities of the Arm, Shoulder and Hand) Outcome Measure which is intended to
measure symptoms and functions in people with musculoskeletal disorders of the upper limb.
The QuickDASH is valid and reliable and is used for clinical and research purposes. The
PODCI is designed to assess patients overall health, pain and ability to participate in
normal daily activities in patients under 19 years of age. We will only distribute both
questionnaires to the subjects and we are not collecting parent perception.

Inclusion Criteria:

- 12 and 18 years old

- Supracondylar/periarticular humerus fracture needed operative fixation

- Fracture is unable to be treated with percutaneous skeletal fixation.

Exclusion Criteria:

- Any previous elbow injury

- Osteogenesis imperfecta or another fragile bone disease

- Elbow stiffness from another cause

- Any pre-existing arm weakness.
We found this trial at
1
site
6621 Fannin St
Houston, Texas 77030
(832) 824-1000
Principal Investigator: Jaclyn F Hill, MD
Texas Children's Hospital Texas Children's Hospital, located in Houston, Texas, is a not-for-profit organization whose...
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mi
from
Houston, TX
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