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3D-printed drilling guides for optimal screw placement in acetabular fracture surgery

3D-printed drilling guides for optimal screw placement in acetabular fracture surgery - 3D-guided drilling study

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON47996
Enrollment
25
Registered
2019-11-14
Start date
2021-03-01
Completion date
Unknown
Last updated
2024-04-15

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

Conditions

acetabular fracture fracture of the hip joint

Interventions

None listed

Sponsors

Universitair Medisch Centrum Groningen
Lead Sponsor

Eligibility

Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: - Patients >= 18 years with an acute (2 weeks from the injury) displaced acetabular fracture - Available diagnostic (preoperative) CT scan with slice thickness of

Exclusion criteria

Exclusion criteria: - Patients 2 weeks after the injury). - Pathological fractures. - Patient with previous hip surgery or surgery in the pre-peritoneal space (Stoppa approach) making an anterior intrapelvic approach hardly possible. - Patient unfit for acetabular surgery. - Patients with body-mass index (BMI) >35. - Acetabular fractures not suitable for an anterior intrapelvic approach

Design outcomes

Primary

MeasureTime frame
To assess the accuracy of the screw placements. The accuracy of the screw placement (the difference between the intended position and the achieved position will be determined in terms of screw direction in degrees) which will be assessed, by matching the preoperative virtual planning with the post-operative CT images.

Secondary

MeasureTime frame
- To assess whether the use of 3D guided screw placement reduces the residual fracture displacement compared to a similar retrospective cohort. Residual fracture displacement is measured on the post-operative CT-scan in terms of: Gap (mm displacement in line with articular surface) and step-off (mm displacement perpendicular to the articular surface). - To assess whether 3D guided surgery leads to an increase in the efficiency of the operative treatment in terms of: operation time, time for plate contouring and fixation and surgeons satisfaction (about implant handling, positioning and fixation).

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)