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Trial registered on ANZCTR
Registration number
ACTRN12607000265471
Ethics application status
Not yet submitted
Date submitted
16/05/2007
Date registered
17/05/2007
Date last updated
2/09/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
Echidna Pin Project: Clavicle Repair (Part 2)
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Scientific title
To examine mid shaft clavicle fracture repair using the Echidna Pin with respect to: the time taken for healing and the shoulder function during and after healing and the assessment of pain during and after healing.
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Secondary ID [1]
262975
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Nil Known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Repair of mid shaft clavicle fractures
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Condition category
Condition code
Injuries and Accidents
1893
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0
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Fractures
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Echidna Pin repair will require a surgical operation of about 30 minutes, to implant an intramedullary bone pinning device to reduce and stabalise a fractured mid shaft clavicle until the bone has healed.
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Intervention code [1]
1762
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Treatment: Devices
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Comparator / control treatment
Uncontrolled
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Radiographic assessment of healing of a fractured clavicle
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Assessment method [1]
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Timepoint [1]
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At 6, 12, 26 & 52 weeks post intervention.
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Secondary outcome [1]
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Time taken for healing
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Assessment method [1]
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Timepoint [1]
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Assessed at radiographic time frames.
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Secondary outcome [2]
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Pain during healing using Huskisson's visual analogue scale
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Assessment method [2]
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Timepoint [2]
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Assessed at clinic visits at 6,12, 26 & 52 weeks post intervention.
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Secondary outcome [3]
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Asymmetry of fractured shoulder v non fractured shoulder
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Assessment method [3]
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Timepoint [3]
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Assessed prior to treatment and at 6 week clinic visit.
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Secondary outcome [4]
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Shoulder function using constants functional assessment of the shoulder
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Assessment method [4]
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Timepoint [4]
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Assessed prior to treatment, 1 day post treatment and 6,12,26 & 52 weeks post treatment.
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Secondary outcome [5]
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Time to perform daily activities
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Assessment method [5]
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Timepoint [5]
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Assessed at 6 and 12 weeks post treatment.
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Secondary outcome [6]
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Time to return to work
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Assessment method [6]
4555
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Timepoint [6]
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Assessed at 6 and 12 weeks post treatment.
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Secondary outcome [7]
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Length of stay in hospital
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Assessment method [7]
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Timepoint [7]
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Assessed at 6 weeks post treatment.
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Eligibility
Key inclusion criteria
Patients presenting after a traumatic incident, with a midshaft clavicle fracture, that is suitably sized to accept the intramedullary bone pin.
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Minimum age
25
Years
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Maximum age
55
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients with non-union, mal-union, infected or pathological fractures.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
not now necessary
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
not now necessary
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/11/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
10
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Echidna Surgical Solutions Proprietory Limited
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Address [1]
2039
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78 Brice Ave Mooroolbark 3138
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Country [1]
2039
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Australia
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Primary sponsor type
Individual
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Name
Elton Edwards
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Address
Alfred Hospital Commercial Rd Prahan 3004 Vic
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Ian Griggs
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Address [1]
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78 Brice Ave Mooroolbark 3138
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Country [1]
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Australia
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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The Alfred Hospital Melbourne
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Ethics committee address [1]
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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01/11/2011
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Approval date [1]
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Ethics approval number [1]
3775
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Summary
Brief summary
Traditionally, non-displaced or minimally displaced clavicle fractures in the mid third of the clavicle have been treated non-operatively. The consensus has been that they all heal. Many displaced mid-shaft clavicle fractures are treated non-operatively as well, but these fractures tend to heal with varying degrees of cosmetic deformity, because the fracture ends over-ride, typically causing a bump under the skin at the fracture site. Until now, the surgical scar from operative repair has been equally if not more displeasing cosmetically for the patient. Hill et al found non-unions in 15% of his patients with non-surgical treatment. He reported a clear correlation with shortenings of more than 2cm. At follow up of 157 patients, Matis et al found appreciable deterioration of shoulder function in half of the cases, showing clavicular shortening of 1cm; in cases in which clavicular shortening was 2cm or more deterioration was considerable. While most patients with a middle-third clavicle fracture will heal in a nonanatomic position, it is conceivable that elite competitive or professional athletes who engage in overhead or throwing activities, may not do well with a malunited clavicle. Consequently, treatment recommendations must be individualized. Neurovascular complications associated with non-union, including subclavian artery and vein compression, thoracic outlet syndrome, and brachial plexus palsy, have also been reported. A variable degree of malunion is present in displaced fractures of the middle clavicle, resulting in a permanent visible prominence over the fracture site, with related shortening of the clavicle and concurrent biomechanical disadvantage. Many authors suggest that such malunion results in acceptable function. This is of particular concern cosmetically and emotionally to people who cannot carry shoulder bags or who find it uncomfortable to carry a backpack over the affected area. As a result of the shortening and dropping of the shoulder, the thin straps of clothing can slip off, and low cut attire reveals a prominent cosmetic lump defect. Discomfort can also be experienced when car seat belts are worn. Economic losses whilst waiting for fracture healing, are due to restrictions on employment or non-training/competing time for athletes. There is also discomfort during daily activities with uncomfortable and painful sleeping postures, causing loss of sleep. Rowe reported that midclavicular fractures in adults were often underrated with regard to pain and disability during the first three weeks. In a review of 118 patients with clavicle fractures followed for 2 years, Eskola et al found that 27 (23%) had pain or limited motion with exercise, and 4 (3%) had major functional problems.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Ian Griggs
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Address
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78 Brice Ave
Mooroolbark VIC 3138
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Country
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Australia
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Phone
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+61 3 97267089
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Ian Griggs
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Address
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78 Brice Ave
Mooroolbark VIC 3138
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Country
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Australia
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Phone
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+61 3 97267089
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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