NCT02625766

Pelvis RCT: Impact of Surgery on Pain in Lateral Compression Type Pelvic Fractures

Impact of Surgery on Pain in Lateral Compression Type Pelvic Fractures: a Prospective Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 95 (actual)
• Sponsor: University of Maryland, Baltimore · Academic / Other
• Sex: All
• Age: 18 Years – 80 Years
• Healthy volunteers: Not accepted

Summary

Lateral compression type pelvic ring injuries remain the most common type of pelvic fractures encountered. There is a substantial amount of controversy surrounding the treatment of these injuries and there is evidence that both operative and non-operative treatment can be successful.

Detailed description

The crux of the problem is determining which of these patients would benefit from early surgical stabilization and which will heal uneventfully without surgery. Many authors site patient pain and inability to mobilize as indications for surgery, although there is conflicting evidence supporting this claim. The presence of chronic pain in the trauma population is a growing area of interest, and there is a push towards controlling pain more effectively in the acute setting. It remains to be proven that surgical intervention is more effective at decreasing acute and longer term pain. There is evidence in the literature to support both operative and non-operative treatment of patients with LC1 or LC2 pelvic fractures. There is conflicting evidence that surgical stabilization decreases acute pain and narcotic requirements, although patients are often counseled to that effect. The investigators propose to prospectively randomize patients with lateral compression type pelvic fractures to non-operative versus operative treatment and track which group has less pain, less need for narcotic pain medications, and who mobilizes with physical therapy faster.

Conditions

• LC Pelvic Fracture

Interventions

Type	Name	Description
PROCEDURE	LC fracture surgical fixation
PROCEDURE	LC fracture non-operative management

Timeline

• Start date: 2015-04-20
• Primary completion: 2018-12-10
• Completion: 2020-12-31
• First posted: 2015-12-09
• Last updated: 2022-05-09
• Results posted: 2022-04-08

Locations

2 sites across 1 country: United States