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Study identifier: NCT06293469 Synced from ClinicalTrials.gov · July 28, 2026
● Recruiting

Accelerated Flap Coverage in Severe Lower Extremity Trauma

Condition: Open Tibia Fracture · Open Dislocation of Ankle · Extremity Fracture Lower  ·  Sponsor: Johns Hopkins University

PhaseNA
Planned participants356
Who can joinAll sexes, 18 Years to no upper limit
Healthy volunteersNo

About this study

The goal of this randomized controlled trial is to determine if accelerated flap coverage compared to standard flap coverage timing leads to improved infection-related complications in patients with open fractures and/or dislocations below the knee. Eligible patients will be randomized to receive either a flap within a goal of 72 hours of injury or standard of care flap timing for the institution. The primary outcome will be a composite outcome to evaluate clinical status 6 months after randomization. Components of the composite outcome will be hierarchically assessed in the following order: 1) all-cause mortality, 2) amputation related to injury, 3) re-operation for infection and/or flap complication (flap compromise, partial and/or complete flap failure), and 4) days in hospital, defined as days in an acute in-patient hospital (i.e., not rehab or nursing facility).

This description comes directly from the study's public registry record.

Talk to the study team

Lily Mundy, MD  ·  410-706-2492  ·  LMundy3@jhu.edu

Always discuss trial participation with your own doctor first.

Locations (9)

UC Davis Medical CenterSacramento, California, United StatesRecruiting
R Adams Cowley Shock Trauma CenterBaltimore, Maryland, United StatesRecruiting
John Hopkins Bayview Medical CenterBaltimore, Maryland, United StatesRecruiting
The Johns Hopkins HospitalBaltimore, Maryland, United StatesRecruiting
University of Maryland Capital Region Medical CenterLargo, Maryland, United StatesRecruiting
Oregon Health & Science UniversityPortland, Oregon, United StatesRecruiting
Vanderbilt University Medical CenterNashville, Tennessee, United StatesRecruiting
The Alfred HospitalMelbourne, Victoria, AustraliaRecruiting
Vall d'Hebron University HospitalBarcelona, SpainRecruiting

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Source record: clinicaltrials.gov/study/NCT06293469