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no interest in using implant
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| Name | Class |
|---|---|
| Innov8ortho | UNKNOWN |
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In February 2021, Altior Trauma Innovationsâ„¢ announced that it had received 501(k) FDA approval for the Artemis Proximal Femoral Nail (PFN) System for internal fixation of intertrochanteric femur fractures. The objective of this pilot study is to evaluate safety, efficacy and feasibility of the Artemis PFN implant for operative fixation of intertrochanteric femoral fractures, compared to matched historical control patients who received other implants.
Intertrochanteric femur fractures are a common injury pattern seen after acute hip trauma, with a very high rate of morbidity and mortality particularly among elderly patients. Cephalomedullary nail fixation has become a mainstay of treatment for both stable and unstable intertrochanteric fractures, offering greater stability than other options without replacing the native hip joint when possible. Despite this, the incidence of fracture nonunion remains high, resulting in poor functional outcomes, higher healthcare costs, and conversion to hemi- or total hip arthroplasty.
In February 2021, Altior Trauma Innovationsâ„¢ announced that it had received 501(k) FDA approval for the Artemis Proximal Femoral Nail (PFN) System for internal fixation of intertrochanteric femur fractures. The Artemis PFN implant offers several purported advantages over existing implants. It is manufactured with a titanium core coated with carbon-fiber reinforced polyetheretherketone (PEEK), combining the strength of titanium with the bone-imitating biomechanical properties and radiolucency of PEEK. A number of additional features built into the Artemis System are designed to facilitate lower-complexity assembly/insertion, as well as reduce the likelihood of implant failure.
The objective of this pilot study is to evaluate safety, efficacy and feasibility of the Artemis PFN implant for operative fixation of intertrochanteric femoral fractures, compared to matched historical control patients who received other implants.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Artemis Proximal Femoral Nail (PFN) implant | Experimental | All participants will receive the Artemis Proximal Femoral Nail (PFN) implant. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Artemis Proximal Femoral Nail (PFN) implant | Device | Artemis Proximal Femoral Nail (PFN) implant |
|
| Measure | Description | Time Frame |
|---|---|---|
| Rate of fracture nonunion | Up to 6 months | |
| Rate of implant-related failure | Up to 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Preoperative pain as assessed by a visual analog scale | Visual Analog Scale: 1(least pain) - 10(most pain). | 30 days preoperatively |
| Preoperative function as assessed by the Functional Independence Measure |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Amiethab Aiyer, MD | Johns Hopkins University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Johns Hopkins Bayview Medical Center | Baltimore | Maryland | 21244 | United States |
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| ID | Term |
|---|---|
| D006620 | Hip Fractures |
| D005264 | Femoral Fractures |
| D005265 | Femoral Neck Fractures |
| ID | Term |
|---|---|
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D025981 | Hip Injuries |
| D007869 | Leg Injuries |
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| ID | Term |
|---|---|
| D016254 | Mutagenesis, Insertional |
| ID | Term |
|---|---|
| D015202 | Protein Engineering |
| D005818 | Genetic Engineering |
| D005821 | Genetic Techniques |
| D008919 | Investigative Techniques |
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Functional Independence Measure: 1(total functional dependence) - 7(total functional independence).
| 30 days preoperatively |
| Operative duration | Operative duration in minutes. | Intraoperative |
| Fluoroscopy usage time | Fluoroscopy usage time in minutes. | Intraoperative |
| Estimated blood loss | Estimated blood loss in milliliters (mL). | Intraoperative |
| Duration of hospital stay | Duration of hospital stay in days. | Perioperative, up to 6 months post procedure |
| Discharge disposition | Discharge to home vs. rehab facility | Perioperative, up to 6 months post procedure |
| Postoperative complications | Any postoperative complications, including: infection, hematoma, thrombosis/embolism, delayed wound healing, etc. | Up to 6 months |
| Postoperative pain as assessed by a visual analog scale | Visual Analog Scale: 1(least pain) - 10(most pain). | Up to 6 months |
| Postoperative function as assessed by the Functional Independence Measure | Functional Independence Measure: 1(total functional dependence) - 7(total functional independence). | Up to 6 months |
| Use of gait-aid device | Use of gait-aid device (wheelchair, walker, cane). | Up to 6 months |
| Postoperative radiographic healing | Fracture healing, position of implant, implant-related failure (subsidence, cutout, loosening, implant fracture). | Up to 6 months |
| Financial costs | Implant purchase/manufacturing costs. | Intraoperative |
| Environmental costs | Carbon waste footprint. | Intraoperative |
| D009154 |
| Mutation |
| D014644 | Genetic Variation |
| D055614 | Genetic Phenomena |
| D016296 | Mutagenesis |