Treatment of Acute Traumatic Laceration of the Olecranon and Prepatellar Bursa

Ludwig Maximilian University of Munich

Status: Unknown

Conditions: Traumatic Laceration of the Olecranon or Prepatellar Bursa

Treatments: Procedure: Bursal reconstruction; Procedure: Bursectomy

Study type: Interventional

Funder types: Other

Identifiers

NCT01714999

415-12

1692/2012 (Other Identifier)

Details and patient eligibility

About

Following a recent publication by the authors [1], there is no standardized treatment regime for the treatment of lacerations of the olecranon or prepatellar bursa, although primary bursectomy seems to be the most common treatment regime in Germany, Austria and Switzerland. The aim of this study is to prospectively follow patients who suffered from an acute traumatic laceration of the OB or PB treated, according to the local standards, either by bursectomy (Vie, AT) or bursal reconstruction and direct wound closure (Muc, GER).

[1] Baumbach et al. Evaluation of the current treatment concepts in Germany, Austria and Switzerland for acute traumatic lesions to the prepatellar and olecranon bursa. Injury (2012)

Full description

A fall onto the elbow or knee often results in a laceration of the olecranon (OB) and prepatellar bursa (PB), due to their exposed and superficial location. Although a common injury, the authors are not aware of any study dealing with this entity. In order to get a first idea on the treatment concepts currently used, the authors conducted a international online survey among orthopaedic and trauma surgeons in Germany, Austria and Switzerland [1]. The primary treatment approach of more than 70% of Austrian and German surgeons was bursectomy and immobilization, which was performed by less than 50% of Swiss physicians.

At the Departments of Trauma Surgery of the Medical University of Vienna and of the Medical University of Munich, two opposing treatment concepts are being practised. Whereas in Vienna a bursectomy is performed in case of traumatic laceration of the OB and PB, a primary bursal reconstruction is performed at the Medical University of Munich.

The aim of this study is to prospectively follow patients who suffered from an acute traumatic laceration of the OB or PB treated, according to the local standards, either by bursectomy (Vie, AT) or bursal reconstruction and direct wound closure (Muc, GER).

The Hypothesis of this study is, that there is no difference with respect to complications between bursectomy and bursal reconstruction in case of acute traumatic laceration of the OB and PB.

1. Baumbach et al. Evaluation of the current treatment concepts in Germany, Austria and Switzerland for acute traumatic lesions to the prepatellar and olecranon bursa. Injury (2012)

Enrollment: 100 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Acute lacerations of the OB or PB (<12h)
• Age 18 - 60 years
• Patient can read and understand German

Exclusion criteria

• Immunodeficient patients
• Severe dementia
• Chronic alcoholism
• Conditions affecting the neuromuscular- or musculoskeletal system
• Previous surgical interventions at the same joint
• Conditions affecting wound healing (including chronic alcoholism, insulin dependent diabetes
• Neurological diseases
• Patient is not available for follow-up visits
• Patient suspected to be non-compliant
• No major concomitant injuries

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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100 participants in 2 patient groups

Bursectomy: Vienna

Experimental group

Description:

At the Department of Trauma Surgery, Medical University of Vienna, bursectomy is considered the gold standard in case of traumatic laceration of the OB or PB bursa.

Treatment:

Procedure: Bursectomy

Bursal reconstruction: Munich

Experimental group

Description:

At the Department of Trauma Surgery, Medical University of Munich, the treatment regime is a primary bursa-preserving therapy.

Treatment:

Procedure: Bursal reconstruction