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RecruitingNCT05146986Updated Mar 7, 2024

RibFix Blu Thoracic Fixation System Versus Non-surgical Treatment in Non-flail Chest Rib Fractures

An observational study in Rib; Fracture, sponsored by Zimmer Biomet. Recruiting at 5 sites in 2 countries. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-03-07.

Sponsored by Zimmer Biomet · Observational

From the registry’s dates

  • Primary completion was expected by Dec 2025, 9 months ago, but the record still lists the study as recruiting.
  • Started Jan 2022; still recruiting 4 years 9 months later.
Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
167
Ages
18 Years and older
Sex
All
01

Study summary

This is a prospective, multi-center, observational, cohort study involving skilled cardiothoracic surgeons who are experienced in implanting the treatment of non-flail chest rib fractures and the use of RibFix Blu Thoracic Fixation System.

Read the detailed description

The objective of this study is to evaluate the benefits of surgical stabilization of rib fractures (SSRF) in patients with non-flail chest rib fractures using RibFix Blu Thoracic Fixation System when compared to non-surgical (analgesia and symptomatic management) treatment. The study will include up to 167 cases of non-flail chest rib fractures with 95 cases in non-surgical treatment group and 72 cases in the surgical group. Each center may enroll up to maximum 30 cases to permit the assessment of outcome across a variety investigators and clinical settings. Enrolment will be competitive among sites and closed as soon as a total of 167 cases are recruited.

02

Conditions studied

  • Rib; Fracture

Keywords

  • Non-flail chest
03

In context

Fractures, Bone

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

This study's planned enrollment of 167 is above the median of 100 across 675 observational studies indexed under Fractures, Bone.

Browse Fractures, Bone studies →

Lead sponsor

Zimmer Biomet is the lead sponsor of 271 studies on the registry; 28 are open to participants now.

Of its 23 completed or terminated interventional studies of FDA-regulated products, 19 (83%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

Patients diagnosed with non-flail chest rib fractures who plan to receive surgical treatment with RibFix Blu Thoracic Fixation System or non-surgical treatment, and meet the inclusion criteria and do not meet any exclusion criteria will be eligible to participate in the study

Inclusion criteria

  • Age 18 and above (inclusive)
  • Simple rib fracture with ≥ 3 consecutive ribs, and the broken ends showed clear displacements
  • Indicated for surgical repair of rib fractures using RibFix Blu Thoracic Fixation System or non-surgical treatment (analgesia and symptomatic management treatment)
  • Willing and able to complete scheduled follow-up evaluations as described in the study protocol
  • Has participated in the Informed Consent process and is willing and able to sign an Institutional Review Board or Ethics Committee (IRB/EC) approved Patient Information/ Informed consent Form (PICF)

Exclusion criteria

Exclusion Criteria:

  • Flail chest rib fractures based on radiological or clinical findings
  • Previous rib fractures or pulmonary problems, requiring continuous oxygen use at home pre-trauma
  • Presence of any serious medical issues that placed patient in generally poor conditions such that he or she could not tolerate the surgery
  • Chest trauma associated with severe craniocerebral injury, abdominal organ injury, severe spinal injury, limb fracture, or pelvic fracture requiring long-term bed rest
  • Has serious medical disease that is a contraindication for general anesthesia, such as cerebral infarction, myocardial infarction and hemorrhagic syndrome
  • Any contraindications listed in the manufacturer's Instruction to use for RibFix Blu Thoracic Fixation System as per below:

    • Spanning a midline sternotomy
    • Active Infection
    • Foreign body sensitivity
  • Is known to be pregnant
  • Is a prisoner, known alcohol or drug user or mentally incompetent or unable to understand what participation in this study entails.
  • Participation in another surgical intervention that may influence any of the outcome parameters.
05

Study design

Observational model
Other
Time perspective
Prospective
Enrollment
167 participants (estimated)
Patient registry
No

Groups and cohorts

  • Non-surgical group

    Patients will receive analgesia and symptomatic management treatment

    Device: Non surgical and Surgical

  • Surgical group

    Patients will receive surgical treatment using RibFix Blu Thoracic Fixation System

    Device: Non surgical and Surgical

Interventions

  • DeviceNon surgical and Surgical

    For non-surgical group, patients will receive non-surgical treatment (analgesia and symptomatic management treatment). For surgical group, patients will receive surgical treatment using RibFix Blu Thoracic Fixation System.

06

What researchers measure

Primary outcomes

  1. Thoracic pain as assessed by numeric Rating Scale (NRS)

    Level of thoracic pain determined using a numeric Rating Scale (NRS). Thoracic pain will be determined using an 11-point Numeric Rating Scale (NRS) in which 0 implicates no pain and 10 the worst pain. If a subject is not able to provide a response to the level of thoracic pain,

    Time frame: 2 weeks

Secondary outcomes

  1. Rate of Analgesic use

    Analgesic use by the difference groups

    Time frame: 12 weeks

  2. Length of Hospital stay

    Length of Hospital stay by the difference groups

    Time frame: 12 weeks

  3. Quality of life using EuroQoL-5L

    Health related qualify of life using EuroQoL-5L(EQ-5D-5L) questionnaires from the different groups. A standardized measure of health-related quality of life states consisting of 5 dimensions, namely mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The EQ-5D-5L version was used in the study. Each dimension has 5 responses recording 5 levels of severity (no problems/slight problems/moderate problems/severe problems or extreme problems). The responses to the EQ-5D dimensions are used to obtain a single EQ-5D index value where 1 represents full health and 0 represents death. The questionnaire also includes a vertical, visual analogue scale (EQ VAS) for the respondents to record their self-rated health where the 2 extreme ends of the scale are labelled as 'Best imaginable health state' and 'Worst imaginable health state' respectively

    Time frame: 2 weeks, 6 weeks and 12 weeks

  4. Pulmonary function

    Pulmonary function will be assessed by the measuring the forced vital capacity (FVC) using a spirometer.

    Time frame: 12 weeks

  5. Pulmonary function

    Pulmonary function will be assessed by the measuring the forced expiratory volume (FEV) using a spirometer.

    Time frame: 2 weeks, 6 weeks and 12 weeks

  6. Number of Participants with respiratory complications

    Complications from the different groups assessed to be related to respiratory.

    Time frame: 2 weeks, 6 weeks and 12 weeks

07

Study locations

4 of 5 sites recruiting
  • Hunter New England Health District
    Sydney, New South Wales 2301, Australia
    • Zsolt Janos Balogh · Contact
    • Zsolt Janos Balogh · Principal investigator
    Not yet recruiting
  • Flinders Medical Centre
    Bedford Park, South Australia 5042, Australia
    • Gregory David Rice, MD · Contact
    • Gregory David Rice · Principal investigator
    Recruiting
  • The Alfred (Alfred Health)
    Melbourne, Victoria 31004, Australia
    Recruiting
  • Yonsei Wonju Severance Christian Hospital
    Wŏnju, Gangwon-do 26426, Korea, Republic of
    • Chun · Contact
    • Sung Byun Chun · Principal investigator
    Recruiting
  • Ajou University Hospital
    Suwon si, Gyeonggi-do 16499, Korea, Republic of
    • Jong Hwan Moon · Contact
    • Jong Hwan Moon · Principal investigator
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 7, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05146986
Lead sponsor
Zimmer Biomet
Responsible party
Sponsor
First posted
Dec 7, 2021
Start date
Jan 2, 2022
Primary completion
Dec 30, 2025 (estimated)
Completion
Dec 30, 2026 (estimated)
Last update
Mar 7, 2024

Study contacts

Irene Chong
Contact
irene.chong@zimmerbiomet.com
97566687
Silvana Marasco, Professor
principal investigator · The Alfred

Oversight

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

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