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CTRI Number  CTRI/2024/08/072623 [Registered on: 19/08/2024] Trial Registered Prospectively
Last Modified On: 16/08/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   To compare Variable angle -olecranon plate v/s Conventional olecranon plate in Comminuted olecranon fracture 
Scientific Title of Study   Efficacy of Functional Outcome of Variable Angle - Olecranon Locking Plate versus Conventional Olecranon Locking Plate Fixation in Comminuted Olecranon Fracture - A Randomized Control Trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Aman Kumar Srivastava 
Designation  Junior Resident 
Affiliation  UPUMS , Saifai 
Address  Room number - 230 Department of Orthopaedics , 2nd floor , Old building ,Uttar pradesh university of medical sciences , Saifai , Etawah

Etawah
UTTAR PRADESH
206130
India 
Phone  7007244359  
Fax    
Email  ak.srivastava768@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr SPS GILL 
Designation  PROFESSOR 
Affiliation  UPUMS , Saifai 
Address  Room number - 230 Department of Orthopaedics, 2nd floor , Old building , Uttar pradesh university of medical sciences , Saifai , Etawah

Etawah
UTTAR PRADESH
206130
India 
Phone  9219699590  
Fax    
Email  simmygill@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Aman Kumar Srivastava 
Designation  Junior Resident 
Affiliation  UPUMS , Saifai 
Address  Room number- 230 Department of Orthopaedics , 2nd floor , Old building , Uttar pradesh university of medical sciences , Saifai , Etawah

Etawah
UTTAR PRADESH
206130
India 
Phone  7007244359  
Fax    
Email  ak.srivastava768@gmail.com  
 
Source of Monetary or Material Support  
Department of Orthopaedics , Uttar Pradesh University of Medical Sciences , Saifai , Etawah 
 
Primary Sponsor  
Name  Uttar pradesh university of medical sciences . Saifai , Etawah 
Address  Uttar pradesh university of medical sciences . Saifai , Etawah , Pincode 206130 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Aman kumar Srivastava  Uttar pradesh university of medical sciences  Room number 230 , Department of Orthopaedics , Second floor , Old building , Uttar pradesh university of medical sciences
Etawah
UTTAR PRADESH 
7007244359

ak.srivastava768@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE UTTAR PRADESH UNIVERSITY OF MEDICAL SCIENCES , SAIFAI , ETAWAH  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Conventional olecranon locking plate   via posterior elbow approach , plate fixation is done and follow up at 0 , 1.5, 3 , 4.5 and 6 month 
Intervention  Variable angle - olecranon locking plate   via posterior elbow approach , plate fixation is done and follow up at 0 , 1.5, 3 , 4.5 and 6 months 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Diagnosed with Closed Comminuted olecranon fracture and Open
Comminuted olecranon fracture ( Grade 1 Gustilo Anderson ) .
2. Good joint function before elbow injury
3. Patients giving written informed consent will be taken 
 
ExclusionCriteria 
Details  1. Patienyts with fractures of other parts of the elbow joint ( distal humeurs, radial head, coronoid process )
2. Patients with severe complications and inoperable
3. undisplaced fracture fragments or fragments displacement less than 2mm
4. Time of injury to operation more than 2 weeks 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
effectiveness of variable angle olecranon plate and conventional olecranon plate in comminuted olecranon fracture  outcome will be assessed at 1.5 month , 3 month , 4 month and 6 month from intervention 
 
Secondary Outcome  
Outcome  TimePoints 
- To evaluate the demographics profile of Olecranon fracture  1.5 month , 3 month , 4 month , 6 month 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   30/08/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="4"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [ak.srivastava768@gmail.com].

  6. For how long will this data be available start date provided 01-12-2025 and end date provided 30-12-2030?
    Response - Beginning 3 months and ending 5 years following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  
Title of study  is Variable Angle (VA) - Olecranon Locking Plate v/s Olecranon Locking Plate Fixation in Comminuted Olecranon Fracture – A Randomized control trial.
Olecranon fractures are one of the most commonly seen orthopaedic injuries in the emergency room comprising approximately 10-20% of all upper extremity fractures with an incidence of 11.5 per 100000 population per year. (1-5) Fractures of the olecranon show bimodal age distribution with younger individuals sustaining a fracture due to high energy trauma and older individual as a result of a simple fall due to osteoporosis. Fractures of the olecranon process of the ulna typically occur as a result of direct trauma such as falling on the tip of the elbow or by indirect trauma such as falling on a partially flexed elbow with indirect forces generated by a strong sudden eccentric contraction of the triceps avulsing the olecranon.
Olecranon fractures are common injuries of the upper extremity; majority Nonetheless, good results over all are to be expected after surgical management. Cost effective implant selection in orthopaedic trauma is essential in the current era of managed healthcare delivery. Both locking plates and variable angle (VA) – olecranon locking plates have been utilized in the treatment of comminuted fractures of the olecranon . 
Aim and Objectives:
• Primary objectives
- To evaluate outcome of olecranon locking plating in Comminuted
Olecranon fracture .
- To evaluate outcome of variable angle olecranon locking plate in Comminuted Olecranon fracture .
- to compare the function outcome of Locking v/s Variable angle locking plate in Comminuted Olecranon fracture .
• Secondary Objectives
- To evaluate the demographics profile of Olecranon fracture
    Written informed consent will be taken from all potential eligible subjects, patients will be equally divided into two groups on the basis of treatment modality GROUP A :- Fixation with olecranon locking plate
GROUP B :- Fixation with Variable angle (VA)- olecranon locking plate
The first follow-up will be at 6 weeks (patients will be informed to follow up immediately if any problem related to the elbow surgery) and subsequent follow- ups will be done at 3 months, 4.5 months and at 6 months, . At every follow-up visit of the patient, the functional mayo elbow performance score 29 will be assessed and compared for any improvement or deterioration in the outcome .

 
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