Evidence map›Paper›PMID 34863272›Full record

Trial reportTrials2021

Vibration therapy as an intervention for enhancing trochanteric hip fracture healing in elderly patients: a randomized double-blinded, placebo-controlled clinical trial.

Ronald Man Yeung Wong, Simon Kwoon Ho Chow, Ning Tang, Yik Lok Chung, James Griffith, Wing Hong Liu, Raymond Wai Kit Ng, Chi Yin Tso, Wing Hoi Cheung

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04063891 (Vibration Therapy as an Intervention for Enhancing Trochanteric Hip Fracture Healing in Elderly Patients), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04063891 nacompletednot on this map

Vibration Therapy as an Intervention for Enhancing Trochanteric Hip Fracture Healing in Elderly Patients: A Randomized Double-Blinded, Placebo-Controlled Clinical Trial

TypeinterventionalSponsorPrince of Wales Hospital, Shatin, Hong KongRan2021 to 2025Enrolled83ConditionsHip FracturesArmsLow-magnitude high-frequency vibration (LMHFV)
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ronald Man Yeung WongDepartment of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Hong Kong, China.
Simon Kwoon Ho ChowDepartment of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Hong Kong, China.
Ning TangDepartment of Orthopaedics & Traumatology, Prince of Wales Hospital, Hospital Authority, Hong Kong, China.
Yik Lok ChungDepartment of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Hong Kong, China.
James GriffithDepartment of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Hong Kong, China.
Wing Hong LiuDepartment of Orthopaedics & Traumatology, Prince of Wales Hospital, Hospital Authority, Hong Kong, China.
Raymond Wai Kit NgDepartment of Orthopaedics & Traumatology, Prince of Wales Hospital, Hospital Authority, Hong Kong, China.
Chi Yin TsoDepartment of Orthopaedics & Traumatology, Prince of Wales Hospital, Hospital Authority, Hong Kong, China.
Wing Hoi CheungDepartment of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Hong Kong, China. louis@ort.cuhk.edu.hk.

Funding

Research Grants Council, University Grants Committee 24108519
6 · The paper itself

Abstract

backgroundThere are more than 300,000 hip fractures yearly in the USA with mortality rates of 20% within 1 year. The treatment of osteoporotic fractures is a major challenge as bone quality is poor, and healing is expected to delay due to the impaired healing properties with respect to bone formation, angiogenesis, and mineralization. Enhancement of osteoporotic fracture healing and function is therefore critical as a major goal in modern fracture management. Previous pre-clinical studies have shown that low-magnitude high-frequency vibration (LMHFV) accelerates osteoporotic fracture healing. The objective of this study is to investigate the effect of LMHFV on accelerating trochanteric hip fracture healing and functional recovery.

methodsThis is a randomized, double-blinded, placebo-controlled clinical trial to evaluate the effect of LMHFV in accelerating trochanteric hip fracture healing. All fractures undergo cephalomedullary nail fixation. The primary outcome of this study is time to fracture healing by X-ray. Computed tomography (CT) and dual-energy X-ray absorptiometry (DXA) will also be performed. Blood circulation at the fracture site will be assessed by dynamic perfusion magnetic resonance (MR). Clinical results include functional recovery by muscle strength, timed up and go test (TUG), quality of life questionnaire (SF-36), balancing, falls, and mortality. DISCUSSION: Previous animal studies have demonstrated LMHFV to improve both normal and osteoporotic fracture healing by accelerating callus formation and mineralization. The mechanical stimulation stimulates angiogenesis by significantly enhancing vascular volume and blood flow velocity. This is the first study to translate LMHFV to enhancing hip fracture healing clinically. Positive results would provide a huge impact in the recovery of hip fracture patients and save healthcare costs.

trial registrationClinicaltrials.gov NCT04063891. Registered on August 21, 2019.

Indexed as

Fracture HealingHip FracturesAgedAnimalsHumansPostural BalanceQuality of LifeRatsRats, Sprague-DawleyTime and Motion StudiesVibrationHip fracturesOsteoporosisRandomized controlled trialTrochanteric fractureVibration treatment

Identifiers

PMID34863272
PMCPMC8643183

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.