Distal femoral fractures: A comparison between single lateral plate fixation and a combined femoral nail and plate fixation.
Kanai Garala, Darryl Ramoutar, James Li...
https://pubmed.ncbi.nlm.nih.gov/34836629Actively Recruiting
Led by University of Missouri-Columbia · Updated on 2026-02-17
100
Participants Needed
1
Research Sites
52 weeks
Total Duration
U
University of Missouri-Columbia
Lead Sponsor
C
CarboFix Orthopedics Ltd.
Collaborating Sponsor
Researchers are evaluating ways to reduce the rates of non-union, or failure to heal, in patients with distal femur fractures. Distal femur fractures can result from high-energy trauma in younger adults or low-energy trauma in elderly individuals with osteoporosis. This trial compares two surgical approaches: the Carbo-fix carbon fiber lateral locking plate and the standard metal lateral plate combined with an intramedullary nail. Both methods are currently used as standard care, and the goal is to see which one results in fewer non-unions and better patient outcomes. Participants will be randomly assigned to receive either the Carbo-fix carbon fiber lateral plate or the standard metal plate and nail combination during surgery. Both treatments involve fixing the broken femur with implants to support healing. The Carbo-fix plate is made of carbon fiber with unique properties such as high strength and improved imaging visibility during surgery. Surgery details like length, blood loss, and complications will be recorded. Patients will be followed up at 2 weeks, 6 weeks, 3 months, 6 months, and 1 year after surgery. During each follow-up visit, patients will have X-rays to check bone healing and will complete patient-reported outcome surveys about pain and physical function. Researchers will track the time it takes for the bone to heal, pain levels, any infections, reoperations, and alignment of the femur. Safety is monitored through standard care procedures, and patients’ medical information is kept confidential. The study aims to enroll around 100 patients over two years, with equal numbers in each treatment group.
CONDITIONS
Carbo-fix Lateral Plate Devices and Standard Plate-Nail Constructs in Distal Femur Fractures
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Complete this quick 3-step screening to check your eligibility
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person) where study details and consent are discussed
Duration - Surgical procedure and hospital stay
Participants undergo surgery to repair distal femur fractures using either the Carbo-fix carbon fiber lateral locking plate or the standard metal lateral plate and intramedullary nail construct, which are both standard of care procedures.
1 surgical visit and hospital stay of variable length
Duration - Up to 1 year
Participants attend follow-up visits to monitor healing and recovery. At each visit, patient reported outcomes and x-rays are collected as per standard of care to assess fracture union, pain, and function.
Visits at 2 weeks, 6 weeks, 3 months, 6 months, and 1 year
Total: 1 location
1
University of Missouri-Columbia
Columbia, Missouri, United States, 65201
Actively Recruiting
V
Vicki L Jones, MEd
N
Nash Kolb
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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