CTRI/2011/09/001986
Completed
Phase 4
Fixation using Alternative Implants for the Treatment of Hip Fracture (FAITH):A Multi-Centre Randomized Trial Comparing Sliding Hip Screws and Cancellous Screws on Revision Surgery Rates and Quality of Life in the Treatment of Femoral Neck Fractures - FAITH
Overview
- Phase
- Phase 4
- Intervention
- Not specified
- Conditions
- Health Condition 1: null- Hip FracturesFemoral Neck Fractures
- Sponsor
- McMaster University
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Adult men or women aged 50 years and older (with no upper age limit).
- •Fracture of the femoral neck confirmed with either anteroposterior and lateral hip radiographs, computed tomography, or magnetic resonance imaging (MRI).
- •Any degree of displacement (i.e., undisplaced or displaced) of the femoral neck fracture that can be closed reduced.
- •Operative treatment of displaced fractures within 2 days (i.e., 48 hours) of presenting to the emergency room.
- •Operative treatment of undisplaced fractures within 7 days of presenting to the emergency room.
- •Patient was ambulatory prior to fracture, though they may have used an aid such as a cane or a walker.
- •Anticipated medical optimalization for operative fixation of the hip.
- •Provision of informed consent by patient or legal guardian.
- •Low energy fracture (defined as a fall from standing height).
- •No other major trauma
Exclusion Criteria
- •Patients not suitable for internal fixation (i.e., severe osteoarthritis, rheumatoid arthritis, or pathologic fracture).
- •Associated major injuries of the lower extremity (i.e., ipsilateral or contralateral fractures of the foot, ankle, tibia, fibula, knee, or femur; dislocations of the ankle, knee, or hip; or femoral head defects or fracture).
- •Retained hardware around the affected hip.
- •Infection around the hip (i.e., soft tissue or bone).
- •Patients with disorders of bone metabolism except osteoporosis (i.e., Pagets disease, renal osteodystrophy, osteomalacia).
- •Moderate or severe cognitively impaired patients (i.e., Six Item Screener with 3 or more errors).
- •Patients with Parkinsons disease (or dementia) severe enough to increase the likelihood of falling or severe enough to compromise rehabilitation.
- •Likely problems, in the judgment of the investigators, with maintaining follow\-up. We will, for example, exclude patients with no fixed address, those who report a plan to move out of town in the next year, or intellectually challenged patients without adequate family support
Outcomes
Primary Outcomes
Not specified
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