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NCT Number: NCT07657559

RCT - Suprapatellar Approach Versus Lateral Parapatellar Approach in Tibial Shaft Fracture

This study aims to compare 2 surgical techniques for tibial shaft nailing (suprapatellar approach vs extra-articular lateral parapatellar approach). following peri-operative and postoperative outcomes

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Key information

Conditions

Tibial Shaft Fracture Intramedullary Nail

Age range

18 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

This is a randomized controlled trial study, compared extra-articular lateral parapatellar approach with suprapatellar approach in tibial shaft nailing. peri-operative data are operative time, blood loss, fluoroscopy time, hospital stay. post-operative outcomes include Lysholm Knee Score, VAS-knee, range of motion. these outcomes are following postoperative day 1, 2 weeks, 6 weeks, 3 months and 6 months.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • age 18-60 years
  • tibial shaft fractures

Exclusion criteria

  • pervious knee injury
  • open fracture at least Gustilo grade II
  • ipsilateral femur and ankle fractures

Treatment and study plan

Suprapatellar Approach

Procedure

semi-extended position longitudinal incision 2 cm. above patella nail insertion procedure under patellofemoral joint

extra-articular lateral parapatellar approach

Procedure

semi-extended position longitudinal incision 4-5 cm., lateral to patellar tendon nail insertion procedure

Primary outcomes

  1. Lysholm Knee Score

    Time frame: 6 months

Secondary outcomes

  1. operative time

    Time frame: operation

  2. VAS score of knee

    Time frame: POD 1, 2 weeks, 6 weeks, 3 months, 6 months

  3. range of motion

    Time frame: POD 1, 2 weeks, 6 weeks, 3 months, 6 months

    knee

  4. intraoperative blood loss

    Time frame: operation

  5. fluoroscopy time

    Time frame: operation

Study contacts

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

Tiwat Wongkasemjit M.D., Resident

CONTACT

[email protected]

+66893146833

Sponsors and collaborators

Lead sponsor

Queen Savang Vadhana Memorial Hospital, Thailand

Other

Registry information

Official study title

Comparison of Suprapatellar Approach Versus Extra-articular Lateral Parapatellar Approach in Tibial Shaft Fractures: A Randomized Controlled Trial

Acronym: ELPP

Important dates

Study start
2026
Primary completion
2026
Study completion
2028
First posted
Jun 18, 2026
Registry last updated
Jun 18, 2026

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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