442
Participants
Start Date
July 31, 2011
Primary Completion Date
September 30, 2017
Study Completion Date
September 30, 2018
Surgery with an external ring fixator
Modern ring external fixator is defined as any fixator that has at least 1 ring proximal and 1 ring distal to the fracture site. The rings may be connected to the tibia using any combination of external fixation pins or wires at the surgeon's discretion. There must be at least two pins or wires connected to each ring, and typically there will be at least three pins or wires. Any FDA approved ring fixator meeting this definition from any manufacturer is allowed.
Definitive fixation with a locked IM nail or plate
"Eligible patients with tibial diaphyseal fractures will typically receive a standard locked IM Nail. The nail must use at least one static interlock proximal to and one static interlock distal to the fracture site. The nail may be placed with either a reamed or unreamed technique.~Methaphyseal fractures, especially those with fracture lines extending into the joint may be more commonly treated with plate fixation. The plate may be applied in an open or percutaneous fashion. Any combination of locked and/or non-locked screws may be used."
Allegheny General Hospital, Pittsburgh
University of Pittsburgh, Pittsburgh
Penn State University M.S. Hershey Medical Center, Hershey
Geisinger Health System, Danville
Walter Reed National Military Medical Center, Bethesda
University of Maryland, R Adams Cowley Shock Trauma Center, Baltimore
Naval Medical Center Portsmouth, Portsmouth
Carolinas Medical Center, Charlotte
Mission Hospital, Asheville
Orlando Regional Medical Center, Orlando
University of Miami Ryder Trauma Center, Miami
Florida Orthopaedic Institute, Tampa General Hospital, Tampa
University of Alabama at Birmingham, Birmingham
Vanderbilt University Medical Center, Nashville
University of Mississippi Medical Center, Jackson
MetroHealth Medical Center, Cleveland
Eskenazi Health, Indianapolis
OrthoIndy / Methodist Hospital, Indianapolis
St Vincent Hospital, Indianapolis
University of Wisconsin, Madison
Regions Hospital, Saint Paul
Hennepin County Medical Center / Minneapolis, Minneapolis
St. Louis Medical Center, St Louis
University of Texas Southwestern Medical Center, Dallas
UT Health: The University of Texas Health Science Center at Houston Medical School, Houston
University of Texas Health Science Center, San Antonio, San Antonio
Texas Tech University Health Sciences Center, El Paso
Denver Health and Hospital Authority, Denver
Naval Medical Center San Diego, San Diego
UCSF Medical Center, San Francisco
Boston Medical Center, Boston
Wake Forest University Baptist Medical Center, Winston-Salem
San Antonio Military Medical Center, Fort Sam Houston
United States Department of Defense
FED
Major Extremity Trauma Research Consortium
OTHER