Actively Recruiting

Phase Not Applicable
Age: 60Years +
All Genders
NCT06496867

Early Internal Fixation Versus NonOperative Care With Early Rehabilitation for LC1 Fragility Fractures of the Pelvis

Led by University of Southern California · Updated on 2025-10-15

48

Participants Needed

13

Research Sites

163 weeks

Total Duration

On this page

Sponsors

U

University of Southern California

Lead Sponsor

O

Orthopaedic Trauma Association

Collaborating Sponsor

AI-Summary

What this Trial Is About

The goal of this randomized pilot study is to assess feasibility of the trial and to collect information to inform the design of a definitive trial. Adult patients ages 60 years or older with a low-energy lateral compression type 1 (LC1) pelvis fracture with \<10 mm initial displacement of the posterior pelvic ring will be eligible to participate in the study. Patients will be randomized to one of two treatment groups, early internal fixation or nonoperative care with early rehabilitation, defined as at least five days of attempted mobilization by rehabilitation providers. Participants will be followed for 1 year.

CONDITIONS

Official Title

Early Internal Fixation Versus NonOperative Care With Early Rehabilitation for LC1 Fragility Fractures of the Pelvis

Who Can Participate

Age: 60Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patient 60 years of age or older
  • Low energy injury from a fall from standing height
  • Confirmed LC1 pelvis fracture by X-ray, CT, or MRI
  • Fracture suitable for either early internal fixation or nonoperative care with rehabilitation
  • Fracture displacement less than 10 mm on CT scan
  • Injury occurred within 21 days before screening
Not Eligible

You will not qualify if you...

  • Patient unable to walk before injury
  • Other injury or condition preventing weightbearing after surgery
  • Retained pelvic implants limiting treatment options
  • Infection near the hip (soft tissue or bone)
  • Pathologic fracture with bone lesion preventing fixation
  • Too ill for internal fixation or nonoperative care as judged by surgeon
  • Difficulty maintaining follow-up
  • Expected survival less than 12 months due to illness or injury
  • Currently enrolled in a conflicting study
  • Prior enrollment in this trial
  • Unable to consent due to language or lack of authorized representative
  • Declined participation or not approached
  • Other exclusion reasons approved by the study Methods Centre

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 13 locations

1

University of Arizona

Phoenix, Arizona, United States, 85006

Not Yet Recruiting

2

Keck Medical Center of USC

Los Angeles, California, United States, 90033

Actively Recruiting

3

Los Angeles General Medical Center

Los Angeles, California, United States, 90033

Actively Recruiting

4

Cedars-Sinai Medical Center

Los Angeles, California, United States, 90048

Actively Recruiting

5

University of California, Davis

Sacramento, California, United States, 95817

Actively Recruiting

6

University of California San Francisco

San Francisco, California, United States, 94143

Actively Recruiting

7

Indiana University

Indianapolis, Indiana, United States, 46202

Actively Recruiting

8

University of Maryland, Baltimore - R Adams Cowley Shock Trauma Center

Baltimore, Maryland, United States, 21201

Actively Recruiting

9

Massachusetts General Hospital

Boston, Massachusetts, United States, 02114

Not Yet Recruiting

10

The Curators of the University of Missouri - Missouri Orthopaedic Institute

Columbia, Missouri, United States, 65201

Actively Recruiting

11

University of Utah

Salt Lake City, Utah, United States, 84112

Actively Recruiting

12

University of Washington - Harborview Medical Center

Seattle, Washington, United States, 98104

Actively Recruiting

13

Research Institute Vall d'Hebrón - Vall d'Hebron University Hospital

Barcelona, Spain, Spain, 08035

Not Yet Recruiting

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Research Team

P

Pui Yan, MS

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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