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Status unknownNCT03091114Updated Oct 9, 2018

Predictive Factors for Failure of Internal Fixations of Lower Limb Fractures

An observational study in Lower Limb Fractures, sponsored by University of Witten/Herdecke. Status unknown at 1 site in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-10-09.

Sponsored by University of Witten/Herdecke · Observational

The sponsor has not verified this record recently (last verified Oct 2018), so the status shown — last known as Active, not recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
210
Ages
18 Years and older
Sex
All
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Study summary

Background:

A predictive factor is a measure that predicts treatment response. Decisions on internal fixations of lower limb fractures should regard predictive factors to personalize (e.g. age) treatment. However for most potentially influencing factors valid data on the predictive value is sparse.

Objectives:

The objective of this study is to identify predictive factors and quantify their predictive ability for treatment failure in patients with limb fractures treated with osteosynthesis.

Methods:

Patients Adult patients (≥18 year) with isolated fractures scheduled for urgent or semi-urgent surgery using internal fixations because of lower limb fractures.

The predictive value of the following exposures will be analyzed:

  • Age
  • Gender
  • Diabetes
  • Smoking status
  • Body Mass Index
  • Open fractures
  • Peripheral arterial disease

Outcome The outcome will be (time to) reoperation of the same fracture because of failure of internal fixation due to nonunion or implant failure.

Study design A prospective observational cohort study will be performed. Sample size 300 patients will be included.

Statistical analysis:

For the main analysis a multivariate stratified Cox proportional hazard model will be used. The Model will be stratified according to the indication. In the Cox proportional hazard model all predictive factors will be entered simultaneously to quantify the independent influence (adjusted for all other factors) of each factor. The strength of prediction will be described with hazard rations and their corresponding 95% confidence intervals.

Read the detailed description

see study protocol: https://uni-wh.de/fileadmin/user_upload/03_G/07_Humanmedizin/05_Institute/IFOM/IFF-PROFAK_Protocol.pdf

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Conditions studied

  • Lower Limb Fractures

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Keywords

  • fractures, risk prediction
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In context

Fractures, Bone

2,261 studies on the registry are indexed under Fractures, Bone; 325 are open to participants now.

This study's enrollment of 210 is above the median of 100 across 675 observational studies indexed under Fractures, Bone.

Browse Fractures, Bone studies →

Lead sponsor

University of Witten/Herdecke is the lead sponsor of 38 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with lower limb fractures.

Inclusion criteria

Adult patients (≥18 years) with isolated fractures scheduled for urgent or semi-urgent surgery using internal fixations because of the following lower limb fractures will be included:

  • Tibia fractures
  • Femur fractures
  • Ankle fractures
  • Calcaneal fractures

Exclusion criteria

Exclusion Criteria:

  • Periprosthetic fractures
  • Insufficient knowledge of the German language
  • Strong cognitive impairment
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
210 participants (actual)
Patient registry
No
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What researchers measure

Primary outcomes

  1. Failure of internal fixation

    Failure of internal fixation due to nonunion or implant failure

    Time frame: 6 months +/- 2 weeks (survival analysis)

Secondary outcomes

  1. Pain

    Pain numerical rating scale (NRS) \>3

    Time frame: 6 months +/- 2 weeks

  2. Physical functioning

    E.g. climbing stairs

    Time frame: 6 months +/- 2 weeks

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Study locations

1 site
  • Clinic for orthopedics, trauma surgery and sports traumatology, hospital Cologne Merheim
    Cologne, North-Rhine-Westfalia 51109, Germany
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References and documents

Publications

  • Prediger B, Tjardes T, Probst C, Heu-Parvaresch A, Glatt A, Dos Anjos DR, Bouillon B, Mathes T. Factors predicting failure of internal fixations of fractures of the lower limbs: a prospective cohort study. BMC Musculoskelet Disord. 2021 Sep 16;22(1):798. doi: 10.1186/s12891-021-04688-6. PubMed 34530793 ↗

Individual participant data

Plan to share: Yes — All data on predictive factors and outcomes will be made available. Published as supplemental material open access (anticipated 12/2018).

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 9, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03091114
Lead sponsor
University of Witten/Herdecke
Responsible party
Tim Mathes (Principal Investigator, University of Witten/Herdecke) — Principal investigator
First posted
Mar 27, 2017
Start date
Mar 27, 2017
Primary completion
Dec 31, 2018 (estimated)
Completion
Dec 31, 2018 (estimated)
Last update
Oct 9, 2018

Study contacts

Tim Mathes, Dr.
principal investigator · University of Witten/Herdecke

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Oct 2018. You cannot join it, but the record below documents what was studied.

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