Predictive Factors for Failure of Internal Fixations of Lower Limb Fractures
NCT03091114 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 210
Last updated 2018-10-09
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.
Conditions
- Lower Limb Fractures
Sponsors & Collaborators
-
University of Witten/Herdecke
lead OTHER
Principal Investigators
-
Tim Mathes, Dr. · University of Witten/Herdecke
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-03-27
- Primary Completion
- 2018-12-31
- Completion
- 2018-12-31
Countries
- Germany
Study Locations
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