NCT04110470

Comparison of the Safety and Cost of a Simplified Post-Operative Radiograph (SPOR) Protocol

Definitive Study for Non-inferiority Randomized Control Trial Comparing the Safety and Cost of a Simplified Post-Operative Radiographic (SPOR) Protocol for Selected Fractures

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 1,612 (estimated)
• Sponsor: University of Manitoba · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The standard post-operative radiographic protocol for the monitoring of fractures at Health Sciences Centre includes post-operative in hospital radiographs as well as radiographs at the two week follow up appointment. This is in addition to good quality intra-operative radiographs. With current operative techniques and implants, orthopaedic surgeons can achieve reliably stable internal fixation. In fact, patients are often allowed to take weight through the fractured limb immediately post-operatively. In these cases, redundant post-operative radiographs likely represent an avoidable cost to the system financially, and an avoidable cost to the patient in additional time spent in hospital and unnecessary radiation exposure.

Conditions

• Fractures, Bone
• Fracture Complications
• Xray Complication

Interventions

Type	Name	Description
DIAGNOSTIC_TEST	X-ray	Patients will receive standard radiographs post-operative day one or two in hospital, as well as radiographs in clinic at two and six weeks.
DIAGNOSTIC_TEST	No-Xray	These patients will not have routine post-operative in hospital radiographs, or radiographs in clinic at two weeks, unless clinically indicated.

Timeline

• Start date: 2020-02-01
• Primary completion: 2024-02-01
• Completion: 2024-05-01
• First posted: 2019-10-01
• Last updated: 2019-10-01