The Sequence of Fixation in Tile C1.2 and C1.3 Vertical Shear Pelvic Ring Injuries.

Ain Shams University

Status: Enrolling

Conditions: Pelvic Ring Fractures; Pelvic Ring Injury

Treatments: Procedure: Starting by posterior ring fixation in vertical shear pelvic ring injuries; Procedure: Starting by anterior ring fixation in vertical shear pelvic ring injuries

Study type: Interventional

Funder types: Other

Identifiers

NCT06792305

FMASU R230/2024

No funds recieved (Other Identifier)

Details and patient eligibility

About

The goal of this study is to compare the sequence of fixation in Vertically Unstable Tile C1.2 and C1.3 pelvic ring injuries, as regards clinical, radiological outcomes and implant failure rates. Our hypothesis is that starting with anterior ring fixation will achieve superior results as regards easier reduction, less operation time, and finally better radiological and functional outcomes when compared with starting with posterior ring fixation.

Enrollment: 30 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Age: 18 years - 60 years.
2. Tile C1.2 and C1.3 pelvic ring injuries.
3. Pure anterior ring ligamentous injuries.

Exclusion criteria

1. Bony fracture of the pubic rami.
2. Tile C2 and C3 pelvic ring injuries.
3. Associated acetabular fracture that requires intervention.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Triple Blind

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30 participants in 2 patient groups

Group A will be fixed anteriorly first

Active Comparator group

Description:

Group A will consist of 15 patients and will be fixed anteriorly first.

Treatment:

Procedure: Starting by anterior ring fixation in vertical shear pelvic ring injuries

Group B will be fixed posteriorly first

Active Comparator group

Description:

Group B: 15 cases, and will be fixed posteriorly first.

Treatment:

Procedure: Starting by posterior ring fixation in vertical shear pelvic ring injuries