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Anke FractureRODEONCT02896998

Routine Versus on Demand Removal of the Syndesmotic Screw

A study testing Removal on demand of the syndesmotic screw and Routine removal of fhe syndesmotic screw in people with Anke Fracture and Syndesmotic Injury, run by Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) at 1 site in Netherlands.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The objective of this trial is to demonstrate that the functional outcome of 'removal on demand' of the syndesmotic screw is non-inferior compared to routine removal of the syndesmotic screw in patients with an ankle fracture. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Anke Fracture, Syndesmotic Injury
What is being tested?
Removal on demand of the syndesmotic screw and Routine removal of fhe syndesmotic screw
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
197 participants
Where
1 siteNetherlands
Study dates
Jan 2017to 1 May 2020
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Over 17 years of age
  • Placement of a metallic syndesmotic screw for an unstable ankle fracture or an isolated syndesmotic injury
  • Syndesmotic screw placed within two weeks of the trauma
  • Being in such condition that one is able to possibly undergo a second procedure

Who cannot join

  • ISS score >15
  • Injuries to the ipsi- and contralateral side which might hamper rehabilitation
  • Other medical conditions which hamper physical rehabilitation
  • Incomprehensive understanding of the Dutch language

Trial locations and contacts

1 site in 1 country.

Netherlands1 site
  • Academic Medical Center

    Amsterdam, North Holland, 1105AZ

Other trials in Netherlands

About this study

The objective of this trial is to demonstrate that the functional outcome of 'removal on demand' of the syndesmotic screw is non-inferior compared to routine removal of the syndesmotic screw in patients with an ankle fracture.

Being tested
Removal on demand of the syndesmotic screw, Routine removal of fhe syndesmotic screw
Medical subject headings
Ankle Injuries

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Removal on demand of the syndesmotic screwProcedure or surgery

    The syndesmotic screw will only be removed in case of a symptomatic implant (e.g. implant causing pain or restricted range of motion)

  • Routine removal of fhe syndesmotic screwProcedure or surgery

    The syndesmotic screw will routinely be removed 8 - 12 weeks following placement of the screw

Study groups in NCT02896998
Study groupRoleWhat they receive
Control groupOtherThe syndesmotic screw will routinely be removed 8 - 12 weeks following placement of the screw
Receives: Procedure: Routine removal of fhe syndesmotic screw
InterventionExperimentalThe syndesmotic screw will only be removed in case of symptomatic implants (e.g. implants causing pain or restricted range of motion)
Receives: Procedure: Removal on demand of the syndesmotic screw

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Functional outcome through the Olerud-Moland score

    Measured: 1 year following initial treatment

Secondary outcomes (7)
  1. Functional outcome through the OAFAS

    Measured: 1 year following initial treatment

  2. Pain through the Visual Analog scale

    Measured: 1 year following initial treatment

  3. Range of motion

    Measured: 1 year following initial treatment

  4. Surgical complications

    Measured: 1 year following initial treatment

  5. Quality of Life through the EQ-5D-5L

    Measured: 1 year following initial treatment

  6. Health care consumption through the iMCQ

    Measured: 1 year following initial treatment

  7. Loss of productivity through the iPCQ

    Measured: 1 year following initial treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Sep 2016 (estimated)
  2. Study startJan 2017
  3. Primary completion1 May 2020
  4. Study completion1 May 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
197 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02896998
Sponsor's protocol ID
METC2016_197
Acronym
RODEO
Status last verified
Jul 2020
First submitted
7 Sep 2016
Last updated
10 Jul 2020
Results posted
No
Data monitoring committee
Yes

Publications

  • Dingemans SA, Birnie MFN, Sanders FRK, van den Bekerom MPJ, Backes M, van Beeck E, Bloemers FW, van Dijkman B, Flikweert E, Haverkamp D, Holtslag HR, Hoogendoorn JM, Joosse P, Parkkinen M, Roukema G, Sosef N, Twigt BA, van Veen RN, van der Veen AH, Vermeulen J, Winkelhagen J, van der Zwaard BC, van Dieren S, Goslings JC, Schepers T. Routine versus on demand removal of the syndesmotic screw; a protocol for an international randomised controlled trial (RODEO-trial). BMC Musculoskelet Disord. 2018 Jan 31;19(1):35. doi: 10.1186/s12891-018-1946-5.

    PubMed 29386053

Questions about this trial

What is this clinical trial studying?

A study testing Removal on demand of the syndesmotic screw and Routine removal of fhe syndesmotic screw in people with Anke Fracture and Syndesmotic Injury, run by Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) at 1 site in Netherlands.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 10 Jul 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Functional outcome through the Olerud-Moland score (time frame: 1 year following initial treatment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02896998, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Jul 2020.

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