Actively Recruiting

Phase Not Applicable
Age: 65Years +
All Genders
NCT03172715

Prosthesis Versus Osteosynthesis in Proximal Tibia Fractures

Led by Central Finland Hospital District · Updated on 2024-08-22

98

Participants Needed

8

Research Sites

594 weeks

Total Duration

On this page

Sponsors

C

Central Finland Hospital District

Lead Sponsor

T

Tampere University Hospital

Collaborating Sponsor

AI-Summary

What this Trial Is About

The aim of this study is to compare knee function and pain one year after treatment of intra-articular proximal tibia fracture using either osteosynthesis with a locking plate (ORIF) or primary total knee replacement (TKR) in patients over 65 years of age.

CONDITIONS

Official Title

Prosthesis Versus Osteosynthesis in Proximal Tibia Fractures

Who Can Participate

Age: 65Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Acute intra-articular proximal tibia fracture with impression of the joint cartilage (Schatzker grades II to VI)
  • Impression of tibial plateau min 2 mm
  • Intact patellar tendon
  • The patient accepts both treatment options (osteosynthesis and arthroplasty)
Not Eligible

You will not qualify if you...

  • Not voluntary
  • Previous arthroplasty of the knee
  • Previous fracture affecting the knee joint
  • Inability to co-operate
  • Not independent (institutionalized living before fracture)
  • Severe osteoarthritis (Kellgren-Lawrence grade 4)
  • Open fracture (Gustilo grade 2 or over)
  • Progressive metastatic malign disease
  • Multiple fractures requiring operative treatment
  • Severe soft tissue injury around the knee (Tscherne classification grade 3)
  • Avulsion fracture of the patellar tendon or concomitant patellar tendon tear
  • Inability to walk before fracture
  • Severe medical comorbidities
  • Body Mass Index over 40
  • Unacceptably high risk of surgery due to severe medical comorbidities
  • Significant arterial or nerve trauma
  • Severe substance abuse

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 8 locations

1

Central Finland Hospital

Jyväskylä, Finland, 40620

Actively Recruiting

2

Kuopio University Hospital

Kuopio, Finland

Not Yet Recruiting

3

Päijät-Häme Central Hospital

Lahti, Finland

Not Yet Recruiting

4

Oulu University Hospital

Oulu, Finland

Not Yet Recruiting

5

Seinäjoki Central Hospital

Seinäjoki, Finland

Not Yet Recruiting

6

Coxa Joint Replacement Hospital

Tampere, Finland

Not Yet Recruiting

7

Tampere University Hospital

Tampere, Finland

Not Yet Recruiting

8

Turku University Hospital

Turku, Finland

Not Yet Recruiting

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Research Team

J

Juha Paloneva, MD, PhD

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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