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MRI Assessment of Cartilage Damage in Tibial Nailing

  • Research type

    Research Study

  • Full title

    A pilot randomised prospective comparison of two approaches for tibial nailing using clinical and novel imaging outcome measures.

  • IRAS ID

    265185

  • Contact name

    Andrew Carrothers

  • Contact email

    andrew.carrothers@addenbrookes.nhs.uk

  • Sponsor organisation

    Cambridge University Hospitals NHS Foundation Trust

  • Clinicaltrials.gov Identifier

    NCT04831671

  • Duration of Study in the UK

    1 years, 6 months, 0 days

  • Research summary

    Fractures of the tibia (shin bone) are frequently treated with a metal nail that is passed down the inside of the bone (an intra-medullary nail). This nail is inserted through the top of the tibia at the level of the knee joint. There are two ways for the nail to be inserted - either through an incision below the patella (kneecap) or above the patella.

    The benefit of the incision above the patella is that it can make it technically easier to insert the nail into the correct position. However, the perceived risk of damage to the knee cartilage has prevented this technique from being widely adopted.

    We will use MRI (Magnetic Resonance Imaging) scanning to assess the cartilage for damage using both techniques. The results will enable us to determine if the theoretical risk of cartilage damage is found in real-world scenarios and to generate data for further, larger studies.

  • REC name

    East of England - Cambridge South Research Ethics Committee

  • REC reference

    21/EE/0178

  • Date of REC Opinion

    11 Sep 2021

  • REC opinion

    Further Information Favourable Opinion