Observational Retrospective Study on the Clinical and Radiographic Outcomes of the Aseptic Pseudarthrosis Treatment of the Upper Limb

NCT04200872 — Completed, 90 participants, Istituto Ortopedico Rizzoli

ClinicalTrials Daily  ·  Areas  ·  Conditions  ·  Drugs  ·  Sponsors  ·  

Retrospective Study on the Clinical Outcomes of the Aseptic Pseudarthrosis Treatment of the Upper Limb

RegistryNCT04200872
StatusCompleted
Study typeObservational
Enrollment90 (Actual)
SponsorIstituto Ortopedico Rizzoli (Other)
ConditionsPseudarthrosis
Interventionsbiological adjuvants, no biological adjuvants (Other)
Datesstart 2019-11-04, primary completion 2020-05-04, completion 2020-05-04, first posted 2019-12-16, last updated 2023-05-23
Locations1 site in Italy

Related Papers Related Patents Related Grants Related Experts
All trials for Pseudarthrosis All trials of biological adjuvants All trials of no biological adjuvants

-Summary

The aim of this study is to collect boh clinical and radiographic data coming from the treated patients for pseudarthrosis of the upper limbs from 2000 to 2017 at the SC Orthopedic Surgery, Innovative Techniques of the Istituto Ortopedico Rizzoli in order to evaluate the clinical and radiographic outcomes of the treatment, with or without the application of biological adjuvants.

Expand all sections  ·  Collapse all

+Detailed description

The bone healing requires the integrations of two main principles: biomechanical aspect and biological aspect. The second one has having growing interest.

The use of the biological adjuvants, as growth factors (rhBMP2 and 7), platelet-derived growth factors (PDGFs), Platelet gel (PG) or Plasma Rich Fibrin (PRF), as well as peptides and molecules are demonstrating promising results in the field of bone regeneration.

The addition of autologous bone marrow concentrate cells has proven to be an effective option in the treatment of bone defects, although to date there is no clear superiority of one method over the other.

In light of this, the purpose of the study is to evaluate the clinical and radiographic outcomes of the treatment, with or without the application of biological adjuvants, collecting data coming from the treated patients for pseudarthrosis of the upper limbs from 2000 to 2017 at the SC Orthopedic Surgery, Innovative Techniques of the Istituto Ortopedico Rizzoli

+Arms and interventions

ArmTypeInterventionsDescription
biological adjuvantsOther: biological adjuvantspatients with aseptic pseudarthrosis clinically treated with biological adjuvants
without biological adjuvantsOther: no biological adjuvantspatients with aseptic pseudarthrosis clinically treated without biological adjuvants
  • biological adjuvants (Other): patients with aseptic pseudarthrosis clinically treated with biological adjuvants
  • no biological adjuvants (Other): patients with aseptic pseudarthrosis clinically treated without biological adjuvants

+Outcome measures

Primary outcomes

  • Pseudoarthrosis Radiographic Healing Score (PRHS) [12 months]: Numeric score rapresenting presence or absence of bone callus. The score range from 0 to 4, with 0 score rapresent absence of bone callus and no bone graft integration, and 4 presence of bone callus and completed bone graft integration.

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* Patients with post-traumatic pseudoarthrosis of the long bones of the upper limb
* Duration of at least 6-9 months without clinical-radiographic signs of healing in the 3 months prior to pseudoarthroses

Exclusion Criteria:

* Pseudoarthrosis due to pathological fracture
* Infected pseudarthrosis
* Pseudoarthrosis treated with external fixation
* BMI> 35

+Locations (1)

FacilityCityCountryStatus
Istituto Ortopedico RizzoliBolognaItaly

+Publications

  • Krishnakumar GS, Roffi A, Reale D, Kon E, Filardo G. Clinical application of bone morphogenetic proteins for bone healing: a systematic review. Int Orthop. 2017 Jun;41(6):1073-1083. doi: 10.1007/s00264-017-3471-9. Epub 2017 Apr 19. PMID 28424852
  • Dallari D, Savarino L, Stagni C, Cenni E, Cenacchi A, Fornasari PM, Albisinni U, Rimondi E, Baldini N, Giunti A. Enhanced tibial osteotomy healing with use of bone grafts supplemented with platelet gel or platelet gel and bone marrow stromal cells. J Bone Joint Surg Am. 2007 Nov;89(11):2413-20. doi: 10.2106/JBJS.F.01026. PMID 17974883