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CompletedNCT05011578Updated Jul 16, 2024

Evaluation of Long-term Clinical and Radiographic Outcomes of Radio-capitellar Prostheses

An interventional study of Radiographic assessment in Radiocapitellar Dislocation, sponsored by Istituto Ortopedico Rizzoli. Completed at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-07-16.

Sponsored by Istituto Ortopedico Rizzoli · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
35
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The aim of this study is to collect clinical and radiographic data from the case histories of patients surgically treated for radio-capitellar fracture and undergoing prosthetic replacement with a modular metal radio-capitellar prosthesis with smooth stem at the Shoulder-Elbow Department of the Rizzoli Orthopaedic Institute, in order to evaluate the clinical and radiographic results at least 10 years after surgery.

Read the detailed description

The aim of the study is to collect clinical and radiographic data from the case history of patients (about 30 cases) surgically treated from 2003 to 2011 at the Shoulder-Elbow Department of the Rizzoli Orthopaedic Institute for radio-capitellar fracture with prosthetic replacement with a modular metal radio-capitellar prosthesis with smooth stem in order to evaluate the clinical and radiographic results at least 10 years after treatment. Patients will be contacted to perform a clinical examination and radiographic control at the Rizzoli Orthopaedic Institute.

This is an interventional study with clinical and radiographic evaluation, at FU of at least 10 years, of patients treated surgically with prosthetic replacement for radio-capitellar fracture at the Shoulder-Elbow Department of the Rizzoli Orthopaedic Institute.

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Conditions studied

  • Radiocapitellar Dislocation

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Keywords

  • radio-capitellar fracture
  • interventional study
  • Radiographic assessment
  • radio-capitellar prosthetic arthroplasty
  • long term clinical results
  • long term radiographic results
  • radio-capitellar prosthesis
  • radiographic results
  • clinical results
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In context

Joint Dislocations

190 studies on the registry are indexed under Joint Dislocations; 39 are open to participants now.

This study's enrollment of 35 is below the median of 53 across 120 interventional studies indexed under Joint Dislocations.

Browse Joint Dislocations studies →

Lead sponsor

Istituto Ortopedico Rizzoli is the lead sponsor of 298 studies on the registry; 102 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

Inclusion criteria

  1. ≥ 18 years of age at the time of radial capitate implantation surgery
  2. Males and Females
  3. Patients surgically treated for radial capitellum fracture undergoing prosthetic replacement with smooth-stemmed modular metal radial capitellum prosthesis at the Shoulder-Elbow Department of the Rizzoli Orthopaedic Institute from 2003 to 2011.

Exclusion criteria

Exclusion Criteria:

  1. \< 18 years old at the time of surgery
  2. Patients treated with radial capitellum prosthesis implantation in fracture outcomes (e.g., secondary instability)
  3. Patients who at the time of telephone contact have contraindications to the execution of radiographic examination
  4. All available patients will be invited to perform the clinical examination and radiographic examination. If some patients are unable to undergo radiography due to possible contraindications, they will still be seen to collect the primary clinical outcome.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
35 participants (actual)

Study arms

  • Experimental
    clinical and radiographic findings after surgical treatment for radiocapitellar fracture

    30 patients will be included in a interventional study for an evaluation of the clinical and radiographic finding after at least 10 years after radiocapitellar surgery

    Radiation: Radiographic assessment

Interventions

  • RadiationRadiographic assessment

    Radiographic assessment after at least 10 years after radiocapitellar surgical treatment

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What researchers measure

Primary outcomes

  1. Mayo elbow performance score (MEPS):

    MEPS score assesses the presence of pain with a score of 0 to 45, Range of Motion with a score of 0 to 20, elbow stability with a score of 0 to 10, and the ability to perform 5 activities of daily living (combing, eating, personal hygiene, dressing, and putting on shoes) to each of which 5 points are assigned. It provides a result from 0 to 100 where results above 90 are defined as excellent, results between 75 and 89 are defined as good, between 60 and 74 are defined as sufficient and below 59 as poor.

    Time frame: At least 10 years after radiocapitellar prosthesis surgical treatment

Secondary outcomes

  1. Broberg - Morrey Score

    The Broberg and Morrey assessment system is a 100-point system that summarizes data from the medical record, personal interview, and biomechanics laboratory examination. It consists of four sections: motion (40 points), strength (20 points), stability (5 points), and pain (35 points). In the final evaluation 95-100 points indicate an excellent result; 80-94 points, a good result; 60-79 points, a fair result; ≤60 points, a poor result. The result can be considered satisfactory if the outcome is rated as good or excellent and unsatisfactory if it is fair or poor.

    Time frame: At least 10 years after radiocapitellar prosthesis surgical treatment

  2. Short Form-12 (SF-12):

    SF-12 serves as a generic indicator of quality of life and assesses the individual's subjective perception of health, understood as biopsychosocial well-being. Through 12 of the 36 questions of the original questionnaire, the SF-12 investigates 8 different aspects related to health status: physical activity, role limitations due to physical health, emotional state, physical pain, perception of general health status, vitality, social activities and mental health; the synthesis of the total scores allows to build two synthetic indices, a physical health index (PCS-12) and a mental health index (MCS-12). The lower the score of the two indices, indicatively below 20 points, the greater the level of disability.

    Time frame: At least 10 years after radiocapitellar prosthesis surgical treatment

  3. Treatment opinion post- surgery

    The patient should indicate satisfaction and relative degree with treatment at the end of the clinical trial (24 months follow-up). All patients will be able to indicate their health condition by choosing from this answers; "Full recovery", "much better", "somewhat better", "no change", "a little worse", "much worse".

    Time frame: At least 10 years after radiocapitellar prosthesis surgical treatment

  4. Radiographic assesment (RX)

    Radiographic assessment is useful to document re-ruptures, mobilizations and calcifications of the interested site

    Time frame: At least 10 years after radiocapitellar prosthesis surgical treatment

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Study locations

1 site
  • Istituto Ortopedico Rizzoli
    Bologna, 40136, Italy
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References and documents

Publications

  • Marsh JP, Grewal R, Faber KJ, Drosdowech DS, Athwal GS, King GJ. Radial Head Fractures Treated with Modular Metallic Radial Head Replacement: Outcomes at a Mean Follow-up of Eight Years. J Bone Joint Surg Am. 2016 Apr 6;98(7):527-35. doi: 10.2106/JBJS.15.00128. PubMed 27053580 ↗
  • Morrey BF, Askew LJ, Chao EY. A biomechanical study of normal functional elbow motion. J Bone Joint Surg Am. 1981 Jul;63(6):872-7. PubMed 7240327 ↗
  • Lott A, Broder K, Goch A, Konda SR, Egol KA. Results after radial head arthroplasty in unstable fractures. J Shoulder Elbow Surg. 2018 Feb;27(2):270-275. doi: 10.1016/j.jse.2017.10.011. PubMed 29332663 ↗
  • Harrington IJ, Sekyi-Otu A, Barrington TW, Evans DC, Tuli V. The functional outcome with metallic radial head implants in the treatment of unstable elbow fractures: a long-term review. J Trauma. 2001 Jan;50(1):46-52. doi: 10.1097/00005373-200101000-00009. PubMed 11231669 ↗
  • Fowler JR, Goitz RJ. Radial head fractures: indications and outcomes for radial head arthroplasty. Orthop Clin North Am. 2013 Jul;44(3):425-31, x. doi: 10.1016/j.ocl.2013.03.013. Epub 2013 Apr 17. PubMed 23827844 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 16, 2024, 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
NCT05011578
Lead sponsor
Istituto Ortopedico Rizzoli
Responsible party
Sponsor
First posted
Aug 18, 2021
Start date
Dec 15, 2022
Primary completion
Jun 30, 2024
Completion
Jun 30, 2024
Last update
Jul 16, 2024

Oversight

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

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