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NCT Number: NCT06193330

External Fixator or Antibiotic-coated Plate in Severe Open Long Bone Fractures

The purpose of the study is to assess whether infection rate is reduced with use of antibiotic-coated plate in severe open tibial fractures compare to use of external fixators

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Federal Medical Centre, Owo, Owo, Ondo State, Nigeria

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age ≥ 18yrs,
  • Gustilo-Anderson IIIA and IIIB open fractures,
  • involvement of any long bone fractures that can be fixed with either plate or uniplanar external fixation,
  • wound can be closed primarily, with skin graft or flap, or can heal secondarily

Exclusion criteria

  • Patients with traumatic brain injury,
  • spinal cord injury,
  • severe burns,
  • 1 long bone fractures,
  • refusal to consent,
  • history of allergies to ceftriaxone or sulbactam,
  • fractures associated with vascular injury
  • and non-compliance with follow-up.

Treatment and study plan

antibiotic-coated plate

Procedure

A plate for fixing long bone fractures is coated with antibiotics cement prepared in theatre

external fixator

Procedure

external fixators are applied to participants with severe long bone fractures

Primary outcomes

  1. number of participants with fracture-related infection after 1 year

    Time frame: one year

    participants will be followed-up for one year and occurrence of infection at any point during this time period will be noted and recorded once

Secondary outcomes

  1. number of participants who have fracture union after one year

    Time frame: one year

    participants will be assessed clinically and radiologically at 3months, 6months, and one year

  2. number of participants who require re-operation after one year

    Time frame: one year

    during the course of follow-up, Patients with infection or other complications like malunion or non-union who require surgical intervention to achieve union will be noted and recorded

  3. change in 12-item Short Form Survey (SF-12) score at baseline and at one year follow-up

    Time frame: one year

    SF-12 score of participants will be taking at baseline and also at one year of follow-up and these two scores will be assessed to determine any differences

Other outcomes

  1. sub-group analysis of infection rate between smokers and non-smokers

    Time frame: one year

    The participants will be grouped into smokers and non-smokers and the infection rate between the two groups will be compared

  2. sub-group analysis of infection rate between participants with and without co-morbidities

    Time frame: one year

    The participants will be grouped into those with co-morbidities and those without and the infection rate between the two groups will be compared

Study contacts

Contact information is provided by the study sponsor or research team.

Olugboyega Oyewole

CONTACT

[email protected]

+2348023657211

Oluwasegun Aremu

CONTACT

[email protected]

+2347069414622

Sponsors and collaborators

Lead sponsor

Oluwasegun Aremu

Other

Collaborators

  • Orthopaedic Trauma Association

Registry information

Official study title

Use of Antibiotics-cement Coated Plate in the Treatment of Gustilo-Anderson Type III Long Bone Fractures in Low- and Middle-income Countries vs External Fixation: A Multi-centre Randomized Control Trial

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
Jan 5, 2024
Registry last updated
Jan 5, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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