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CTRI Number  CTRI/2021/05/033547 [Registered on: 11/05/2021] Trial Registered Prospectively
Last Modified On:
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparision of Functional Outcome Of Intramedullary Interlocking Nailing Versus Minimally Invasive Percutaneous Plate Osteosynthesis In Distal Third Extra-articular Fractures OF Tibia In Adult Population. 
Scientific Title of Study   A Prospective Randomized Control Study to compare The Functional Outcome Of Intramedullary Interlocking Nailing Versus Minimally Invasive Percutaneous Plate Osteosynthesis In Distal Third Extra-articular Fractures OF Tibia In Adult Population.  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr DHANASEGARAN A 
Designation  POST GRADUATE 
Affiliation  SRI VENKATESHWARAA MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, ARIYUR , PONDICHERRY. 
Address  DEPARTMENT OF ORTHOPAEDICS SRI VENKATESHWARAA MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, ARIYUR ,PONDICHERRY-605102
DEPARTMENT OF ORTHOPAEDICS SRI VENKATESHWARAA MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, ARIYUR ,PONDICHERRY-605102
Pondicherry
PONDICHERRY
605102
India 
Phone  9789349881  
Fax    
Email  dineshx202@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr MANIVELAVAN D 
Designation  PROFESSOR 
Affiliation  SRI VENKATESHWARAA MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, ARIYUR ,PONDICHERRY 
Address  DEPARTMENT OF ORTHOPAEDICS SRI VENKATESHWARAA MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, ARIYUR ,PONDICHERRY-605102
DEPARTMENT OF ORTHOPAEDICS SRI VENKATESHWARAA MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, ARIYUR ,PONDICHERRY-605102
Pondicherry
PONDICHERRY
605102
India 
Phone  9789771142  
Fax    
Email  drmanivelavan@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  DR AMUDHA GANESH S 
Designation  ASSISTANT PROFESSOR 
Affiliation  SRI VENKATESHWARAA MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, ARIYUR ,PONDICHERRY 
Address  DEPARTMENT OF ORTHOPAEDICS SRI VENKATESHWARAA MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, ARIYUR ,PONDICHERRY-605102
DEPARTMENT OF ORTHOPAEDICS SRI VENKATESHWARAA MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, ARIYUR ,PONDICHERRY-605102
Pondicherry
PONDICHERRY
605102
India 
Phone  9500703243  
Fax    
Email  amuganselvas@gmail.com  
 
Source of Monetary or Material Support  
SELF FUNDING 
 
Primary Sponsor  
Name  Dr DHANASEGARAN A 
Address  POST GRADUATE, DEPARTMENT OF ORTHOPAEDICS , SRI VENKATESHWARAA MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, ARIYUR, PUDUCHERRY. 
Type of Sponsor  Other [SELF FUNDING] 
 
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 DHANASEGARAN A  SRI VENKATESHWARAA MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, ARIYUR, PUDUCHERRY.  DEPARTMENT OF ORTHOPAEDICS SRI VENKATESHWARAA MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, ARIYUR, PUDUCHERRY.
Pondicherry
PONDICHERRY 
9789349881

dineshx202@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE SRI VENKATESHWARAA MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE  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 
Intervention  INTRAMEDULLARY INTERLOCKING NAILING AND MINIMALLY INVASIVE PERCUTANEOUS PLATE OSTEOSYNTHESIS IN DISTAL THIRD EXTRA-ARTICULAR FRACTURES OF TIBIA .  PATIENTS WILL BE OPERATED BY THE ABOVE MENTIONED SURGICAL MODALITIES AND WIL BE FOLLOWED UP POST SURGICALLY AT 0,3,6 AND 12 WEEKS AND ASSESS THE FUNCTIONAL OUTCOME IN PATIENTS OPERATED WITH THE MENTIONED SURGICAL MODALITIES.  
Comparator Agent  NOT APPLICABLE  NOT APPLICABLE 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  95.00 Year(s)
Gender  Both 
Details  Patients of both gender more than 18 years of age who sustain closed or Compound type1(Gustilo Anderson classification) distal one third
extra-articular fractures of tibia with or without
comminution. 
 
ExclusionCriteria 
Details  1. Intra-articular fractures of tibia, tibial plafond fractures,
2. Pathological fractures
3. Patients with bleeding disorders, peripheral vascular disease.
4. Patients with active infection, sepsis.
5. Patients with skeletal immaturity.
6. Patients with severe head injury.
7. Patients who sustain compound fracture tibia of grade 2 and more of Gustilo Anderson classification. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
FOOT FUNCTION INDEX SCORE
RADIOGRAPHICAL EVALUATION FOR FRACTURE UNION  
AT 0,3,6 AND 12 WEEKS. 
 
Secondary Outcome  
Outcome  TimePoints 
OLERUD AND MOLANDER SCORE  AT 0,3,6 AND 12 WEEKS 
 
Target Sample Size   Total Sample Size="48"
Sample Size from India="48" 
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   N/A 
Date of First Enrollment (India)   19/05/2021 
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="9"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   All patients with distal one third extra-articular tibial fractures presenting to the Hospital, are to be selected based on the inclusion and exclusion criteria. A detailed history including name, age, sex, mode of injury and existing co-morbidities will be obtained with due consideration to the exclusion criteria. Patient will be divided and randomized into two groups by simple randomization, assigning the two planned surgical modalities to patients on an alternate number basis wherein the odd numbered and even numbered patients will receive the Nailing and Plating type of Interventional modality and Selection of modality of treatment by the proposed implants for the patients will be done on comparative technique . All patients coming under the study will be explained regarding both the methods of intervention detailedly and about the tool used for assessing the functional outcome in their own understandable language. A detailed written and informed consent will be obtained from all patients prior to intervention. Autonomy of the patients will be preserved and maintained throughout the study. . A detailed consent in Helsinki declaration will be obtained.   Post operatively patient will be reviewed and assessed at 0, 3 and 6 and 12 weeks for Foot Function Index score , Olerud and Molander Score clinically and fracture union by plain radiography.  
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