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Pseudolock phenomenon in locking plate osteosynthesis (Classification, Epidemiology, and Solution)

Pseudolock phenomenon in locking plate osteosynthesis (Classification, Epidemiology, and Solution)

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2500109799
Enrollment
Unknown
Registered
2025-09-25
Start date
2025-05-16
Completion date
Unknown
Last updated
2025-09-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

fracture

Interventions

Observation group:None

Sponsors

The Affiliated People’s Hospital of Jiangsu University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: 1. Adult patients (aged 18 years or older); 2. Acute traumatic fractures with an injury-to-surgery interval of less than 3 weeks; 3. Fractures limited to long bones in the extremities(lupper limb:clavicle, humerus, ulna, and radius. lower limb:femur, tibia, and fibula); 4. Utilization of fixed-angle locking plates featuring dedicated locking holes; 5. Constructs manufactured from titanium alloy or medical-grade stainless steel; 6. Preshaped plates designed to conform to anatomic templates; 7. Locking head screws with diameters ranging from 2.4 to 6.5 mm; 8. Postoperative orthogonal radiographs (anteroposterior and lateral projections) were utilized to evaluate the locking state of screws.

Exclusion criteria

Exclusion criteria: 1. Patients under 18 years of age; 2. Non-acute fractures (injury-to-surgery interval exceeding 3 weeks), pathological fractures due to neoplastic processes, periprosthetic fractures, or congenital malformations affecting bone morphology (e.g., osteogenesis imperfecta, achondroplasia) ; 3. Fractures involving the finger bones, metacarpals, scapula, pelvic ring, talus, calcaneus, metatarsals, or phalanges; 4. Use of distal locking screws with non-axial loading designs, as well as cortical or cancellous screws with full or partial threads; 5. Plates lacking dedicated locking holes (limited-contact dynamic compression plates); 6. Variable-angle locking plates (VA-LCP) or ortho-bridge system (OBS); 7. Non-metallic locking constructs (polyetheretherketone/carbon fiber composites); 8. 3D-printed or customized plates; 9. LHS outside of the 2.4–6.5 mm diameter range; 10. Inadequate postoperative imaging failing to evaluate the locking state of screws.

Design outcomes

Primary

MeasureTime frame
Conditions of screws;

Secondary

MeasureTime frame
Age;Gender;Site;Side;Location;Diameter;

Countries

China

Contacts

Public ContactYao Xiang

The Affiliated People’s Hospital of Jiangsu University

yaoxiang6266@163.com+86 139 1280 6266

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026