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| Name | Class |
|---|---|
| Aeon Biotechnology Corporation | INDUSTRY |
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This study aims to evaluate the effect of bone marrow concentration on union of femoral shaft fracture by comparing clinical and imaging outcomes between patients receiving Intramedullary nail fixation with intraoperative bone marrow concentration and those receiving Intramedullary nail fixation only.
Femoral shaft fracture is a common orthopaedic injury. Intramedullary nail is one of the standard treatments. Its primary goal is to develop an osseous bridge between adjacent motion segments to prevent motion, relieve pain, and facilitate bone union. Delayed union or nonunion is common in femoral shaft fracture. Risk factors include comminuted fracture, open fracture, smoking, diabetes and open reduction of fracture fixation. Mesenchymal stem cells are pluripotent cells that can differentiate into multiple mesenchymal tissues, including tenocytes, chondrocytes and osteoblasts, as well as being a source of multiple growth factors to establish an environment conducive to soft and hard tissue regeneration. As bone marrow concentration has high concentration of mesenchymal stem cells, some studies have shown that autologous bone marrow concentration can improve bone healing. Therefore, the goal of this study was to evaluate the effect of bone marrow concentration on union of femoral shaft fracture.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Bone marrow concentration group | Consecutive patients receive intramedullary nail fixation with bone marrow concentration. |
| |
| Historical control group | Previous age- and gender-matched patients who receive intramedullary nail fixation only. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| intramedullary nail fixation with bone marrow concentration | Other | intramedullary nail fixation with bone marrow concentration |
|
| Measure | Description | Time Frame |
|---|---|---|
| 1-month postoperative degree of union evaluated by plain radiograph | Degree of union evaluated by plain radiograph | 1-month postoperative |
| Measure | Description | Time Frame |
|---|---|---|
| 2-month postoperative degree of union evaluated by plain radiograph | Degree of union evaluated by plain radiograph | 2-month postoperative |
| 3-month postoperative degree of union evaluated by plain radiograph |
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Inclusion Criteria:
Exclusion Criteria:
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consecutive eligible patients who underwent intramedullary nail fixation combined with autologous bone marrow stem cells treatment for femoral shaft fracture
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hsin-Chuan Chen, MD | Contact | +886975611139 | henang0424@gmail.com | |
| Pei-Yuan Lee, MD | Contact |
| Name | Affiliation | Role |
|---|---|---|
| Pei-Yuan Lee, MD | Show Chwan Memorial Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Show Chwan Memorial Hospital | Recruiting | Changhua | Changhua | 500 | Taiwan |
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| intramedullary nail fixation | Other | intramedullary nail fixation only |
|
Degree of union evaluated by plain radiograph
| 3-month postoperative |
| 6-month postoperative degree of union evaluated by plain radiograph | Degree of union evaluated by plain radiograph | 6-month postoperative |
| 12-month postoperative degree of union evaluated by plain radiograph | Degree of union evaluated by plain radiograph | 12-month postoperative |