50 Participants NeededMy employer runs this trial

Pressure Monitoring for Broken Leg

KL
SO
Overseen BySara Olenich, MS
Age: < 65
Sex: Any
Trial Phase: Academic
Sponsor: Boston Children's Hospital
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how monitoring pressure in the lower leg can help doctors detect acute compartment syndrome (ACS), a rare and serious condition, after surgery for a broken shinbone. During surgery, participants will have a small sensor, called a Continuous Compartmental Pressure Monitor, placed to continuously measure pressure for over 18 hours. The trial aims to determine if this pressure monitoring can reveal differences between healthy patients and those who develop ACS. It seeks participants aged 10 to 21 undergoing surgery for a shinbone fracture.

As an unphased trial, this study offers participants the chance to contribute to innovative research that could improve surgical outcomes for future patients.

What prior data suggests that this pressure monitoring device is safe for adolescents with tibia fractures?

Research has shown that the Continuous Compartmental Pressure Monitor, used to check pressure in the leg after a shinbone fracture, is safe. The FDA has approved this device, confirming it meets safety standards. Previous reports found no harmful effects during its use, indicating that patients generally tolerate it well. The device helps doctors identify acute compartment syndrome (ACS), a serious condition that can occur after a fracture, by providing real-time pressure data for up to 18 hours. This continuous monitoring reduces mistakes and improves diagnostic accuracy.12345

Why are researchers excited about this trial?

Unlike traditional methods for managing compartment syndrome in broken legs, such as manual pressure measurements and clinical observation, the Continuous Compartmental Pressure Monitor offers a novel approach by providing real-time, continuous pressure data from the affected area. This innovative use of the MY01 medical device allows for immediate detection of dangerous pressure levels, potentially reducing the risk of complications like tissue damage. Researchers are excited about this method because it aims to improve patient outcomes by offering a more precise and timely intervention compared to the current standard of intermittent checks.

What evidence suggests that this pressure monitoring device is effective for diagnosing acute compartment syndrome?

Research has shown that monitoring pressure inside the leg helps doctors diagnose acute compartment syndrome (ACS) more accurately in patients with broken shinbones. Studies have found that this method leads to faster surgeries by providing better diagnostic information. This approach reduces unnecessary surgeries by 94%, saving time and resources. In this trial, all participants will have the MY01 device inserted to record continuous anterior compartment pressure data. The MY01 device measures pressure continuously for up to 18 hours, providing doctors with crucial information for better decision-making. Although some debate exists about its benefits, many studies suggest it is a promising tool for managing broken shinbones and preventing complications like ACS.678910

Who Is on the Research Team?

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Kristin Livingston, MD

Principal Investigator

Boston Children's Hospital

Are You a Good Fit for This Trial?

This trial is for adolescents who have a broken shin bone (tibia) and are having surgery to fix it. Participants should be able to safely undergo the procedure and monitoring, with no major health issues that would prevent participation.

Inclusion Criteria

I am having surgery to fix a fracture in my upper or middle shin bone.
I am between 10 and 21 years old on the day of my surgery.

Exclusion Criteria

Preexisting neuromuscular or vascular condition affecting the injured extremity
MY01 device malfunction
I have been diagnosed with acute compartment syndrome before surgery.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Surgical Treatment and Monitoring

Participants undergo surgical treatment with the placement of a continuous pressure monitoring sensor in the anterior knee compartment

18+ hours
In-hospital stay

Postoperative Monitoring

Participants are monitored for the development of acute compartment syndrome and neurovascular status

Up to 1 week postoperatively
In-hospital stay

Follow-up

Participants are monitored for neurovascular status at the initial postoperative clinic visit

2-4 weeks postoperatively
1 visit (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • Continuous Compartmental Pressure Monitor

Trial Overview

The study tests a continuous pressure monitor placed in the front part of the lower leg during surgery. It records pressure for over 18 hours after surgery to see if this helps doctors detect dangerous swelling called acute compartment syndrome.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: MY01Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Boston Children's Hospital

Lead Sponsor

Trials
801
Recruited
5,584,000+

Citations

Early cost-effectiveness analysis of continuous ...

The aim of this study was to model the cost-effectiveness of continuous pressure monitoring (CPM) in a hypothetical cohort of patients with a fracture of the ...

Continuous Compartment Pressure Monitoring for ...

Multiple measurements may allow for much greater accuracy in diagnosing ACS, which may result in faster time to surgery and potentially by a trained nurse.

An Early Cost-Effectiveness Analysis of a New Continuous ...

This early analysis suggests that the continuous pressure monitoring device could be a cost-effective diagnostic option for patients who have tibial fractures

Journal Pre-proof

effectiveness analysis of continuous compartment pressure monitoring modelled in patients with a fracture of the tibial diaphysis, Injury, (2026).

Continuous Intracompartmental Pressure Monitoring for Acute ...

Much of the research on continuous intracompartmental pressure monitoring has been done in adults with tibial diaphyseal fractures.

Novel digital continuous sensor for monitoring of compartment ...

This device is approved by the FDA and Health Canada. All monitored data is encrypted and associated with a Health Insurance Portability and Accountability Act ...

MY01 Inc. Receives FDA Clearance for the ...

MY01's device helps diagnose acute compartment syndrome (ACS), a relatively common and potentially lethal muscle condition notably suffered ...

MY01 Continuous Compartmental Pressure Monitor - MEARIS

There were no reports of adverse effects. The recall was closed on July 25, 2022.

Continuous Compartment Pressure Monitoring for ...

This most commonly involves the leg. Key symptoms of ACS include severe pain, loss of pulses, loss of feeling, and inability to move the limb.

MAUDE Adverse Event Report: MY01 INC. MY01 ...

Health Effect - Clinical Code, Loss of consciousness (2418) ; Date of Event, 09/17/2021 ; Type of Reportable Event, Serious Injury ; Brand Name. MY01 CONTINUOUS ...