评估手术和保守疗法治疗急性锁骨相关创伤疗效的多中心前瞻性队列研究

注册号:

Registration number:

ChiCTR2600120072 

最近更新日期:

Date of Last Refreshed on:

2026-03-09 11:47:53 

注册时间:

Date of Registration:

2026-03-09 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

评估手术和保守疗法治疗急性锁骨相关创伤疗效的多中心前瞻性队列研究

Public title:

A multicenter prospective cohort study evaluating the efficacy of surgical versus conservative treatment for acute clavicular-related trauma

注册题目简写:

English Acronym:

研究课题的正式科学名称:

评估手术和保守疗法治疗急性锁骨相关创伤疗效的多中心前瞻性队列研究

Scientific title:

A multicenter prospective cohort study evaluating the efficacy of surgical versus conservative treatment for acute clavicular-related trauma

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

柴义杰 

研究负责人:

陈云丰 

Applicant:

Chai Yijie 

Study leader:

Chen Yunfeng 

申请注册联系人电话:

Applicant telephone:

+86 139 0476 3283

研究负责人电话:

Study leader's
telephone:

+86 189 0571 7355

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

Yijie_Chai@Hotmail.com

研究负责人电子邮件:

Study leader's E-mail:

Yijie_Chai@Hotmail.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

上海市徐汇区宜山路600号

研究负责人通讯地址:

上海市徐汇区宜山路600号

Applicant address:

No. 600 Yishan Road, Xuhui District, Shanghai

Study leader's address:

No. 600 Yishan Road, Xuhui District, Shanghai

申请注册联系人邮政编码:

Applicant postcode:

200030

研究负责人邮政编码:

Study leader's postcode:

200030

申请人所在单位:

上海市第六人民医院

Applicant's institution:

Shanghai Sixth People's Hospital Affiliated to Shanghai JiaoTong University

研究负责人所在单位:

上海市第六人民医院

Affiliation of the Leader:

Shanghai Sixth People's Hospital Affiliated to Shanghai JiaoTong University

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

2025-KY-081-(K)

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

上海市第六人民医院伦理委员会

Name of the ethic committee:

Ethics Committee of Shanghai Sixth People's Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2025-03-11 00:00:00

伦理委员会联系人:

贾伟平

Contact Name of the ethic committee:

Jia Weiping

伦理委员会联系地址:

上海市徐汇区宜山路600号

Contact Address of the ethic committee:

600 Yishan Road, Xuhui District, Shanghai

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 21 6436 9181

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

上海市第六人民医院

Primary sponsor:

Shanghai Sixth People's Hospital Affiliated to Shanghai JiaoTong University

研究实施负责(组长)单位地址:

上海市徐汇区宜山路600号

Primary sponsor's address:

No. 600 Yishan Road, Xuhui District, Shanghai

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

上海

市(区县):

徐汇

Country:

China

Province:

Shanghai

City:

Xuhui

单位(医院):

上海市第六人民医院

具体地址:

上海市徐汇区宜山路600号

Institution
hospital:

Shanghai Sixth People's Hospital Affiliated to Shanghai JiaoTong University

Address:

600 Yishan Road, Xuhui District

经费或物资来源:

研究者自筹

Source(s) of funding:

Researchers raise their own funds

研究疾病:

锁骨相关创伤(锁骨骨折、肩锁关节脱位、胸锁关节脱位)  

Target disease:

Clavicle related trauma (clavicle fracture, acromioclavicular joint dislocation, sternoclavicular joint dislocation)

研究疾病代码:

Target disease code:

研究类型:

观察性研究

Study type:

Observational study

研究所处阶段:

探索性研究/预试验 

Study phase:

0

研究设计:

队列研究 

Study design:

Cohort study 

研究目的:

评价多种保守和手术方案治疗急性锁骨相关创伤的临床功能(以Constant-Murley 评分为主要指标)患者疼痛管理等差异; 围绕锁骨相关创伤术后并发症,尤其是内固定失败、肩关节僵硬、肩锁关节术后再脱位等,探究相关危险因素。 探究各个手术方式影响愈后的相关因素; 探究影像学指标与患者主观的问卷评分的相关性; 评估手术并发症(如内固定失败、肩锁关节术后再脱位等)对患者疼痛、肩关节功能及生活质量的影响。  

Objectives of Study:

Objective to evaluate the clinical function (constant Murley score as the main index) and pain management of patients with acute clavicle related trauma treated by various conservative and surgical schemes; To explore the related risk factors around the postoperative complications of clavicle related trauma, especially the failure of internal fixation, shoulder stiffness, and postoperative subluxation of acromioclavicular joint. Objective to explore the related factors of various surgical methods affecting the prognosis; Objective to explore the correlation between imaging indicators and patients' subjective questionnaire scores; Objective to evaluate the impact of surgical complications (such as internal fixation failure, acromioclavicular joint dislocation after operation) on patients' pain, shoulder function and quality of life.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1.有MRI检查禁忌症(装有心脏起搏器、患有幽闭恐惧症等); 2.患有精神病或不懂中文,不能理解并独立完成调查问卷; 3.Gustilo-Anderson Ⅲ型开放性骨折或开放性骨折伴有神经损伤; 4.病理性骨折,如伴有肿瘤、骨软化症、骨髓炎或单纯性骨囊肿等不愿加入试验的患者。

Exclusion criteria:

1. There are contraindications to MRI examination (equipped with cardiac pacemaker, suffering from claustrophobia, etc.); 2. Have mental illness or do not understand Chinese, can not understand and independently complete the questionnaire; 3. Gustilo Anderson type Ⅲ open fracture or open fracture with nerve injury; 4. Pathological fracture, such as patients with tumor, osteomalacia, osteomyelitis or simple bone cyst, who are unwilling to participate in the test.

研究实施时间:

Study execute time:

From 2024-10-01 00:00:00 To 2031-06-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-06-25 00:00:00 To 2029-06-01 00:00:00

干预措施:

Interventions:

组别:

锁骨骨折钢板内固定术组

样本量:

1100

Group:

Clavicle fracture plate internal fixation group

Sample size:

干预措施:

干预措施代码:

Intervention:

plate internal fixation

Intervention code:

组别:

锁骨骨折髓内固定术组

样本量:

100

Group:

Clavicle fracture intramedullary fixation group

Sample size:

干预措施:

干预措施代码:

Intervention:

intramedullary fixation

Intervention code:

组别:

锁骨骨折外固定架治疗组

样本量:

100

Group:

Clavicle fracture external fixation treatment group

Sample size:

干预措施:

干预措施代码:

Intervention:

external fixation treatment

Intervention code:

组别:

肩锁关节脱位锁骨钩钢板内固定组

样本量:

300

Group:

Clavicular hook plate internal fixation group for acromioclavicular joint dislocation

Sample size:

干预措施:

干预措施代码:

Intervention:

Clavicular hook plate internal fixation group

Intervention code:

组别:

肩锁关节脱位袢钢板喙锁加强技术组

样本量:

100

Group:

Acromioclavicular joint dislocation loop steel plate coracoid lock reinforcement technology group

Sample size:

干预措施:

干预措施代码:

Intervention:

Strengthening technology of loop steel plate beak lock

Intervention code:

组别:

肩锁关节脱位喙锁韧带重建技术组

样本量:

100

Group:

Coracoclavicular ligament reconstruction technique group for acromioclavicular joint dislocation

Sample size:

干预措施:

干预措施代码:

Intervention:

Coracoclavicular ligament reconstruction technique group

Intervention code:

组别:

肩锁关节脱位肩锁韧带加强技术组

样本量:

100

Group:

Acromioclavicular joint dislocation acromioclavicular ligament Strengthening Technology Group

Sample size:

干预措施:

干预措施代码:

Intervention:

Strengthening technique of acromioclavicular ligament

Intervention code:

组别:

胸锁关节脱位钢板内固定术组

样本量:

50

Group:

Sternoclavicular joint dislocation plate internal fixation group

Sample size:

干预措施:

干预措施代码:

Intervention:

plate internal fixation

Intervention code:

组别:

胸锁关节脱位胸锁韧带重建组

样本量:

50

Group:

Sternoclavicular joint dislocation sternoclavicular ligament reconstruction group

Sample size:

干预措施:

干预措施代码:

Intervention:

Reconstruction of sternoclavicular ligament

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

上海 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

上海市第六人民医院 

单位级别:

三甲 

Institution
hospital:

Shanghai Sixth People's Hospital Affiliated to Shanghai JiaoTong University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

上海 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

上海市第七人民医院 

单位级别:

三甲 

Institution
hospital:

Shanghai Seventh People's Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

浙江省 

市(区县):

 

Country:

China

Province:

Zhejiang

City:

单位(医院):

浙江萧山医院 

单位级别:

三甲 

Institution
hospital:

Hangzhou Xiaoshan Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

江苏 

市(区县):

 

Country:

China

Province:

Jiangsu

City:

单位(医院):

盐城市第三人民医院 

单位级别:

三甲 

Institution
hospital:

Yancheng Third People's Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

江苏 

市(区县):

 

Country:

China

Province:

Jiangsu

City:

单位(医院):

射阳县人民医院 

单位级别:

二级 

Institution
hospital:

Sheyang County People's Hospital

Level of the institution:

Secondary

国家:

中国

省(直辖市):

广东 

市(区县):

 

Country:

China

Province:

Guangdong

City:

单位(医院):

珠海市人民医院(暨南大学珠海临床医学院) 

单位级别:

三甲 

Institution
hospital:

Zhuhai People's Hospital (Jinan University Zhuhai Clinical Medical College)

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

湖北 

市(区县):

 

Country:

China

Province:

Hubei

City:

单位(医院):

武汉第四人民医院 

单位级别:

三甲 

Institution
hospital:

Wuhan Fourth People's Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

Constant-Murley评分

指标类型:

主要指标

Outcome:

Constant-Murley Score

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

QuickDASH 评分

指标类型:

次要指标

Outcome:

QuickDASH Score

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

ASES 评分

指标类型:

次要指标

Outcome:

ASES Score

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

VAS 评分

指标类型:

次要指标

Outcome:

VAS Score

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

EQ5D 评分

指标类型:

次要指标

Outcome:

EQ5D Score

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

并发症发生率

指标类型:

次要指标

Outcome:

incidence of complications

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

不良反应

指标类型:

副作用指标

Outcome:

adverse reaction

Type:

Adverse events

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

None

Tissue:

人体标本去向

其它  

说明

Fate of sample:

0thers  

Note:

征募研究对象情况:

Recruiting status:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

Randomization Procedure (please state who generates the random number sequence and by what method):

None

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

Blinding:

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

是Yes

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

于2031/06/01公开,需要原始数据请联系Yijie_Chai@hotmail.com

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Published on June 1, 2031. For original data, please contact Yijie_Chai@hotmail.com

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

我们编辑了CRF表格进行数据收集,并建立了EDC系统进行记录。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

We edited the CRF form for data collection and established an EDC system for recording.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2026-03-09 11:47:34