Humerus Fracture Displaced Proximal
Conditions
Keywords
large bone defect, bone marrow-derived mononuclear cells
Brief summary
In the present phase-I clinical trial we investigate safety and feasibility of an augmentation with preoperatively isolated autologous BMC cells seeded onto ß-TCP in combination with an angle stable fixation (Philos plate®) for the therapy of proximal humeral fractures.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* patients aged between 50. and 90. years with proximal humerus fractures * indication for open reposition and internal stabilisation with a proximal fixed- angle plate for humerus (PHILOS, Synthes, Oberdorf, Swiss): * 2-, 3- or 4-fragment fracture according to NEer * dislocation of \>10 mm between fragments and/or * angle of \> 45° between fragments and/or * dislocation of tuberculum major \> 5 mm * negative pregnancy test of premenopausal women * signed informed consent for surgery and participation in the clinical trial
Exclusion criteria
* contraindications against administration of Investigational medicinal product (IMP) is pregnancy and nursing * dislocation fracture * known psychic disorder that leads to incompliance (e.g. dementia, schizophrenia, major depression) * pathologic fractures caused by other underlying diseases * fracture-induced nerve damage * tumor disease with recent adjuvant therapy or treatment during the last 3 months (e.g. chemotherapy, radiotherapy), untreated tumor diseases * known hypersensibility against components of the transplant * participation in a clinical trial during the last 3 months prior to this study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| safety | at day -1 | Analysis of safety : morbidity of bone marrow punction local reaction (infection, delayed wound healing) systemic reaction (leucocytes, C-reactive protein, Interleukin-6, procalcitonin) fever (\> 38,5°C longer than 2 days) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| feasibility | at day-1 | Analysis of feasibility of isolation and application of BMC, logistic and clinical controls |
Other
| Measure | Time frame | Description |
|---|---|---|
| osseous healing by radiologic evaluation | at day 0 | Analysis of fracture healing, consolidation, necrosis, dislocation of reposition, screw cutting |
| DASH-Score | at 12 weeks post surgery | testing the function of the shoulder |
| documentation of concomitant medication and Adverse Events | at day -1 | analysis of medication and Adverse Events |
Countries
Germany