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海藻糖对股骨转子间骨折患者骨愈合、身体功能及疼痛的影响:一项随机对照试验方案

Effects of trehalose on bone healing, physical function, and pain in patients with pertrochanteric fractures: a randomized controlled trial protocol.

作者信息

Zandi Reza, Razani Hosna Omidi, Mehrvar Amir, Jowshan Mohammad-Reza, Sahebkar Amirhossein, Nikooyeh Bahar, Zahedi Hoda, Talebi Shahin

机构信息

Musculoskeletal Disorders Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Orthopedics, School of Medicine, Taleghani Hospital Research Development Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Trials. 2024 Dec 18;25(1):823. doi: 10.1186/s13063-024-08667-9.

Abstract

BACKGROUND

Appropriate management of fractures is crucial for restoring natural bone function and preventing long-term complications. Previous research on animal models indicates that trehalose can improve bone fracture healing by inhibiting the inflammatory cascade. We hope that trehalose can accelerate bone fracture healing in humans, alleviate pain, and ultimately enhance the individual's quality of life.

METHODS

This randomized, double-blind clinical trial will be conducted at Taleghani Hospital in Tehran, Iran. Sixty-four patients admitted to the orthopedic ward will be enrolled based on eligibility criteria. The participants will be randomly allocated based on the permuted block randomization into two groups: those receiving trehalose (32 patients) or placebo (32 patients). The patients in the trehalose and placebo groups will receive 3.3 g of trehalose or placebo for 12 weeks, respectively. A consent form, general questionnaire, as well as the Visual Analog Scale (VAS), Harris Hip Score (HHS), and radiological analyses will be used to assess fracture healing quality. The intention-to-treat principle will form the basis of the statistical analysis.

DISCUSSION

The trial results may provide a convenient and safe adjuvant treatment option for the Pertrochanteric Fractures population.

TRIAL REGISTRATION

Iranian Registry of Clinical Trials. IRCT20240605062013N1. URL of the trial registry record: https://irct.behdasht.gov.ir/trial/77212 . Registration date: 16 June 2024.

摘要

背景

骨折的恰当处理对于恢复天然骨功能及预防长期并发症至关重要。先前对动物模型的研究表明,海藻糖可通过抑制炎症级联反应来改善骨折愈合。我们希望海藻糖能加速人类骨折愈合、减轻疼痛,并最终提高个体生活质量。

方法

这项随机、双盲临床试验将在伊朗德黑兰的塔莱加尼医院进行。根据入选标准,将招募64名入住骨科病房的患者。参与者将根据置换区组随机化法随机分为两组:接受海藻糖治疗的患者(32例)和接受安慰剂治疗的患者(32例)。海藻糖组和安慰剂组的患者将分别接受3.3克海藻糖或安慰剂,持续12周。将使用知情同意书、一般问卷以及视觉模拟量表(VAS)、哈里斯髋关节评分(HHS)和影像学分析来评估骨折愈合质量。意向性分析原则将作为统计分析的基础。

讨论

该试验结果可能为转子间骨折人群提供一种方便且安全的辅助治疗选择。

试验注册

伊朗临床试验注册中心。IRCT20240605062013N1。试验注册记录的网址:https://irct.behdasht.gov.ir/trial/77212 。注册日期:2024年6月16日。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/012c/11653555/30c7a4764331/13063_2024_8667_Fig1_HTML.jpg

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