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. 2015 Mar 30;2015(3):CD010261. doi: 10.1002/14651858.CD010261.pub2

NCT01047826.

Trial name or title Intramedullary nailing vs. M.I.P.O. in fractures of the tibia; a randomised controlled trial
Methods Randomised controlled trial
Participants Inclusion criteria:
  • Males and females aged from 18 to 60 years

  • Closed tibia fracture

  • Tibia fracture Müller AO Class 43‐A


Exclusion criteria:
  • Intra‐articular fractures

  • Open fractures

  • Individuals with documented Marfan's syndrome or Ehlers‐Danlos syndrome or Hajdu‐Cheney syndrome.

  • Postorgan transplant recipients (except corneal transplant)

  • Individuals on immunosuppressive medications

  • Individuals diagnosed with

    • osteogenesis imperfecta

    • osteopetrosis

    • Paget disease of bone

    • renal osteodystrophy

  • Individuals diagnosed with neoplasms or mitotic illnesses

  • Individuals receiving growth hormone

  • Individuals unable to comply with postoperative rehabilitation e.g. head injury

  • Individuals with impending compartment syndrome

Interventions 1. Minimally invasive percutaneous osteosynthesis (MIPO) using locked plates
2. Intramedullary nail group using the Expert Tibial Nail
Outcomes Primary outcome measures:
1. Rate of malunion (time frame: 6 months)
2. Any healing that occurs with any one of the following: more than 5 degree angulation in the anterior‐posterior or lateral view or rotation of more than 10 degrees or shortening of more than 1 cm
 
 Secondary outcome measures:
1. Short Form (12) Health Score (SF‐12v2®) (time frame: every 3 months until healing or 24 months)
 2. Blood loss (time frame: during the time of surgery)
 3. Radiation exposure (time frame: during the time of surgery)
 4. Duration of surgery
 5. Infection rate (time frame: every 3 months until healing or 24 months)
 6. Hospital stay (time frame: after surgery)
 7. Time of fracture healing (time frame: 6 months)
8. Clinical criteria: no pain or tenderness while weight bearing or palpating the fracture site.
9. Radiological criteria: bridging of the fracture site in anterior‐posterior and lateral views.
Trialists will use these two criteria to measure healing time
Starting date Start date: December 2010
 Estimated completion date: December 2014
Contact information Principal Investigator: Husam A AL‐Rumaih, MD (Saudi Arabia)  +96612520088 ext 14119   rumaih@me.com
Notes Estimated enrolment: 180
 Status unknown (2/12/2014)