TULIP: Surgical vs non-surgical treatment of LC1 pelvic injuries
Research type
Research Study
Full title
A Randomised Controlled Trial of Surgical versus Non-Surgical Treatment of Lateral Compression Injuries of the Pelvis with Complete Sacral Fractures (LC1) in the Non-fragility Fracture Patient - A Feasibility Study.
IRAS ID
232687
Contact name
Steven Barnfield
Contact email
Sponsor organisation
North Bristol NHS Trust
Duration of Study in the UK
2 years, 1 months, 31 days
Research summary
Lateral Compression (type1) fractures of the pelvis make up around 60% of pelvic fractures. A proportion of these are termed as unstable meaning that there is a greater risk of the bone fragments displacing over time. This may lead to difficulties with mobilising and prolonged periods of pain. Therefore it may be appropriate to stabilise these fractures through surgery. However, surgery also has some significant risks such as infection, nerve damage etc. Currently there is no evidence to support either surgical or non-surgical management of these fractures. This study aims to test the feasibility of carrying out a future large scale study to inform the most appropriate management of these injuries. \n\nPatients that present to one of the specialist pelvic hospitals taking part in this study who are deemed to meet the criteria for participating in the study will be approached to see if they would be willing to take part in the study. Patients who agree will be randomly assigned to either follow a surgical or non-surgical treatment pathway. The exact details of these two pathways will be left to the discretion of each patient’s treating pelvic specialist. Patients will then be assessed at regular intervals to complete questionnaires relating to their symptoms and daily activities as well as a physical assessment of their walking. A small proportion of patients will be asked to take part in an interview to examine their acceptance of the treatments, study design and assessments used.\n\nThe numbers of patients recruited to the study and the completeness of the data, together with the views of patients interviewed will be used to inform a future large scale study to examine whether surgical or non-surgical management of these injuries is most appropriate.\n
REC name
South West - Central Bristol Research Ethics Committee
REC reference
18/SW/0135
Date of REC Opinion
4 Jul 2018
REC opinion
Further Information Favourable Opinion