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Geriatric Acetabular fracTures: Open Reduction Internal Fixation Versus Replacement

Recruitingn/aAges 60 Years - anyAllUnity Health Toronto
NCT03713853 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Management of acetabular (hip) fractures in the geriatric population can be very challenging because of pre-existing medical comorbidities, pre-existing osteoporosis and increased risk of mortality. The two most common treatment options for acetabular fractures are either surgical fixation using plates and screws to hold the fractured pieces in the correct position until the fracture has healed or surgical fixation in addition to a total hip replacement. Surgical fixation requires prolonged immobilization of the affected limb (typically around 6-12 weeks post-operatively), which can lead to disability and other complications. Such patients, especially those who are frail and cognitively impaired, are unable to adhere to the immobilization restrictions, leading to an increased risk of fixation failure. Patients who underwent open reduction internal fixation (ORIF) of an acetabular frac

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📋 Eligibility rules (as published)
Inclusion Criteria: * 60 years of age or older * Isolated and Displaced (more or equal to 2mm on any radiographic view) fracture of the acetabulum * Patient requires surgical treatment, either THA+ORIF or ORIF surgeries * Fracture is acute (within 3 weeks of injury) * Patient was ambulatory (with or without walking aids) prior to their acetabular fracture injury * Patient is able to provide informed consent to participation in the study * Patient is able to read and understand English Exclusion Criteria: * Presence of an active or chronic infection around the fracture (soft tissue or bone) * Open/compound fracture * Bilateral acetabular fractures * Pathological fracture excluding osteoporosis * Periprosthetic fracture (previous arthroplasty or hardware or ORIF in-situ). Hardware (screws or plates or nails or hemi-arthroplasty) on the femoral side are not excluded. * Medical or surgical contraindication to surgery * Dementia
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What it tests

  • Not listed
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Where

1 site
Unity Health Toronto - St Michael's Hospital
Toronto, Canada
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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