Rapid IMF™: Does it improve cross infection precautions in maxillofacial trauma surgery?

ISRCTN ISRCTN37523564
DOI https://doi.org/10.1186/ISRCTN37523564
Secondary identifying numbers N0226132769
Submission date
30/09/2004
Registration date
30/09/2004
Last edited
14/07/2011
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Mr N Pigadas
Scientific

New Cross Hospital
Wednesfield Road
Wolverhampton
West Midlands
WV10 0QP
United Kingdom

Phone +44 (0)1902 695408
Email npigadas@doctors.org.uk

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific title
Study objectivesStudy hypothesis amended as of 2nd January 2008:
Glove perforations and percutaneous injuries occur commonly during the treatment of facial fractures, especially during Inter-Maxillary Fixation (IMF) with wires. The Rapid IMFTM device does not use any wires and may provide better cross infection control than wiring methods.

Study hypothesis provided at time of registration:
An assessment of the glove perforation and percutaneous injury rate when rapid immobilisation mandibular fracture (IMF)/traditional wiring IMF techniques are used/will be carried out - to identify the safest technique.
Ethics approval(s)Each of the participating Oral and Maxillofacial Units obtained approval from their Local Research Ethics Committees (LREC) as follows:
1. Oral and Maxillofacial Unit of Manchester Royal Infirmary (Central Manchester and Manchester Children's University Hospitals NHS Trust): Central Manchester LREC, approved on 9 September 2002 (ref: 02/CM/242)
2. Oral and Maxillofacial Unit of Wythenshawe Hospital (University Hospital of South Manchester NHS Trust): South Manchester LREC, approved on 10 October 2002 (ref: 02/SM/349)
3. Oral and Maxillofacial Unit of Leicester Royal Infirmary: Leicester LREC
Health condition(s) or problem(s) studiedOral and maxillofacial surgery
Intervention20 patients in each of 3 Units (total 60) will be treated with Rapid IMF™.
20 controls in each Unit (total 60) will be treated with eyelet wires.
Intervention typeProcedure/Surgery
Primary outcome measureThe incidence of perforations/operation specific to the type of IMF
Secondary outcome measuresSecondary outcome measures added as of 2nd January 2008:
1. Number and types of exposure sustained by the surgeon, the assistant and the scrub nurse and their cause
2. Incidence of unnoticed glove perforations
3. Time and degree of difficulty for IMF application
4. Numbers of surgical complications
Overall study start date01/11/2002
Completion date01/11/2004

Eligibility

Participant type(s)Patient
Age groupNot Specified
Lower age limit18 Years
SexNot Specified
Target number of participants120
Key inclusion criteriaInclusion criteria amended as of 2nd January 2008:
1. Age 18 and over
2. Provision of written informed consent
3. Dentate patients with fractures of the mandible which require ORIF, where post operative Inter-Maxillary Fixation is not considered necessary and temporary intraoperative Inter-Maxillary Fixation could be achieved with either Eyelet wiring or Rapid IMF™ (as judged by the investigator)

Inclusion criteria provided at time of registration:
1. Patients undergoing open reduction and internal fixation (ORIF) of mandibular fractures
2. Twenty patients in each unit (60) will be treated with Rapid IMF
3. Twenty controls in each unit (60) will be treated with Eyelet wires
Key exclusion criteriaExclusion criteria added as of 2nd January 2008:
1. Decreased level of consciousness
2. Learning difficulties and history of significant psychiatric or somatic disease, which may interfere with the detection of complications and assessment of functional result, as judged by the investigator
Date of first enrolment01/11/2002
Date of final enrolment01/11/2004

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

New Cross Hospital
West Midlands
WV10 0QP
United Kingdom

Sponsor information

Department of Health
Government

Richmond House
79 Whitehall
London
SW1A 2NL
United Kingdom

Website http://www.dh.gov.uk/Home/fs/en

Funders

Funder type

Government

South Manchester University Hospitals NHS Trust (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Abstract results abstract P580 01/09/2004 No No