Weight-bearing of Patients After Pelvic Ring Fracture
NCT Number: NCT06481865
Acronym: RECFAP
Status: RECRUITING
Study Type: OBSERVATIONAL
Conditions: Weight-bearing of Patients After Pelvic Ring Fracture
Sponsor: University Hospital, Grenoble
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 250
Study Design: Observational Model: |Time Perspective: p
Start Date: 2024-06-01
Completion Date: 2025-06-01
Locations: Grenoble Alpes university Hospital,La tronche, Grenoble, France

Summary:
Pelvic ring fractures are fractures associated with high morbidity and mortality. When the fracture is displaced, surgical management to achieve reduction and fixation of the anterior and posterior annulus is the current reference. The optimal technique that gives the best results is controversial. Open reductions and internal fixations (ORIFs) are associated with more blood loss and a higher rate of infection, while closed reductions and percutaneous fixations (CRPF) are associated with more screw misplacements and thus vascular or nerve damage. The results appear to be similar in the literature between the two approaches

Surgery for pelvic ring fractures has become increasingly common over the past three decades Recovery is often delayed for weeks post-surgery, depending on the center. Modern management emphasizes early rehabilitation, including early mobility and weight-bearing, when possible. Increasing the number of screws, their diameter and length, and systematically fixing both anterior and posterior lesions add safety for early reloading

The aim of the study is The main objective of the study is to evaluate the clinical outcome associated with early weight-bearing in patients operated on for a pelvic ring fracture in a large cohort of patients at Grenoble University Hospital, compared to patients operated on for the same type of pelvic ring fracture with delayed weight-bearing.

The investigator hypothesize that early weight-bearing of pelvic ring fractures with biomechanically stable fixation does not result in significant differences in clinical outcomes at a minimum of one year compared to patients with delayed weight-bearing

Primary Outcome Measures: Evaluate the clinical outcome associated with early weight-bearing in patients operated on for a pelvic ring fracture compared to patients operated on for the same type of pelvic ring fracture with delayed weight-bearing, Clinical outcomes according to functional assessment ( Majeed score), 1 year
Secondary Outcome Measures: Define the prognostic factors associated with poor clinical outcomes and Pseudoarthrosis or vicious callus., Prognostic factors from operative data (Ilio-inguinale,Ilio-stoppa,stoppa,stoppa + external window,kocher-Langenbeck, anterior + posterior, operating time (min), blood loss (ml),intraoperative re-transfusion (ml)), 1 year|Compare clinical outcomes and radiological results with the literature, Clinical outcomes according to functional assessment (MAJEED score), 1 year|Compare clinical outcomes and radiological results with the literature, Clinical outcomes according to Numerical Pain Scale (from 0 to 10) 0 no pain 10 worst possible pain, 1 year|Compare clinical outcomes and radiological results with the literature, Clinical outcomes according to radiological results, 1 year|Evaluation of the outcomes and complications of immediate weight-bearing in elderly patients., Intraoperative and postoperative complications (including complications of immediate weight-bearing), 1 year