Pulsed Ultrasound to Speed-up Healing after Intramedullary nailing of Tibia fractures

ISRCTN ISRCTN90844675
DOI https://doi.org/10.1186/ISRCTN90844675
Secondary identifying numbers PUSH-IT V1.3 08/08
Submission date
07/09/2008
Registration date
18/09/2008
Last edited
18/09/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Injury, Occupational Diseases, Poisoning
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Julia Seifert, MD PhD
Scientific

Department of Trauma and Orthopaedic Surgery
Unfallkrankenhaus Berlin
Berlin
12683
Germany

Email julia.seifert@ukb.de

Study information

Study designPragmatic, randomised controlled multicentre trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific title
Study acronymPUSH-IT
Study objectivesAdjuvant pulsed ultrasound increases the bony union rate after three months from 20% to 40% after intramedullary nailing of tibia fractures compared to no adjuvant treatment.
Ethics approval(s)The Institutional Review Board (IRB) of the Charité University Medical Centre (Germany), dated 4th June 2008 (ref: EA1/079/08)
Health condition(s) or problem(s) studiedClosed or I° open fractures of the tibia
InterventionExperimental: pulsed, low-energetic ultrasound (Exogen, Smith & Nephew), applied daily for three months
Control: standard of care

The total duration of follow-up is one year after randomisation.
Intervention typeOther
Primary outcome measureBony union three months (+/- 1 week) after randomisation, as assessed on plain radiographs by independent, blinded raters.
Secondary outcome measures1. Delayed union and non-union rates
2. Health-related quality of life (36-item Short Form Health Survey [SF-36], EuroQoL instrument [EQ-5D])
3. Functional outcomes (Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC])
4. Duration of sick leave
5. Cost-utility
6. Serious adverse events (SAE)

Secondary outcomes will be assessed after 6 weeks, 3, 6, and 12 months.
Overall study start date01/10/2008
Completion date01/10/2010

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants250 (O'Brien-Fleming adaptive design: RD 20%, alpha 0.025, power 83%, 2 x 106 patients, assumed drop-out rate 15%)
Key inclusion criteria1. Men and women
2. Greater than 18 years old
3. With closed or I° open fractures of the tibia that had been treated by reamed or unreamed locking intramedullary nails less than 10 days prior to randomisation. Patients with fractures of the lateral malleolus, fixed by plates, as well as patients with minor concomitant injuries (bruises, sprains) will be offered trial participation.
Key exclusion criteria1. Multiple injuries/polytrauma
2. Greater than I° open fractures
3. Pregnant or breastfeeding women
4. Pathological fractures
Date of first enrolment01/10/2008
Date of final enrolment01/10/2010

Locations

Countries of recruitment

  • Germany

Study participating centre

Department of Trauma and Orthopaedic Surgery
Berlin
12683
Germany

Sponsor information

German Employer's Liability Insurance for the Administrative Professions (Verwaltungs-Berufsgenossenschaft [VBG]) (Germany)
Government

Head Office
Department of Rehabilitation
Deelbögenkamp 4
Hamburg
22281
Germany

Email wolfgang.ebeling@vbg.de
Website http://www.vbg.de/
ROR logo "ROR" https://ror.org/02gaw4292

Funders

Funder type

Government

German Employer's Liability Insurance for the Administrative Professions (Verwaltungs-Berufsgenossenschaft [VBG]) (Germany)

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