Proximal Femoral Fractures - Patient Population, Risk Factors, Surgical Performance and Outcome
- Conditions
- Proximal Femoral Fracture
- Interventions
- Procedure: surgery for pertrochanteric femoral fractureProcedure: surgery for femoral neck fracture
- Registration Number
- NCT03768622
- Lead Sponsor
- University Hospital, Basel, Switzerland
- Brief Summary
Proximal femoral fractures are a typical pathology in elderly patients after a low-energy trauma.
This study analyses preexisting risk factors for proximal femoral fractures as well as for failing to reach the previous functional level, difference in outcome between patients with femoral neck fracture compared to those with pertrochanteric fracture, surgical performance and its significance for the functional outcome, as well as the impact of proximal femoral fractures on patients' one-year independence.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 2906
- surgery with intramedullary nail type Gamma® Nail or similar in case of pertrochanteric fractures or
- with a partial hip arthroplasty in case of femoral neck fractures
- Clinical follow up at another institution
- Documented dissent in study participation
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description surgery for pertrochanteric femoral fractures surgery for pertrochanteric femoral fracture patients with proximal femoral fracture (type:pertrochanteric femoral fractures) with surgical procedure: intramedullary nail type Gamma® Nail or similar surgery for femoral neck fracture surgery for femoral neck fracture patients with proximal femoral fracture (type: femoral neck fracture) with surgical procedure: partial hip arthroplasty
- Primary Outcome Measures
Name Time Method Change in Patient clinical outcome during hospitalization (from date of surgery until discharge date after surgery (approx. 1-3 weeks) Quantification of length of hospital stay
- Secondary Outcome Measures
Name Time Method Change in subsidence (radiological outcome: assessment of surgical treatment of femoral neck fractures) 1year postoperative (if n.a. min 6 months postoperative) differences in the distance between perpendicular lines drawn to the bisecting axis of the medullary canal, at the top of the femoral head and at the tip of the great trochanter in mm
Change in patient clinical outcome (according Penrod score) preoperatively and at 1 year follow up date after surgery Penrod score reflects the patients' preoperative functional level and living. Patients are classified concerning their prefracture age (1: \<75 years, 2: 75-84 years, 3 ≥85 years, their ability in performing activities of daily life (ADL) as well as their cognitive status (dementia in clusters 2B and 3D Situation)
Change in radiological outcome: assessment of surgical treatment of pertrochanteric fractures day of surgical intervention (immediately after surgery) and 1year postoperative (if n.a. min 6 months postoperative) leg-length discrepancy (tangent to inferior pubic rami and tip of greater trochanter, if n.a. insertion of lesser trochanter)
radiological outcome: assessment of surgical treatment of femoral neck fractures 1year postoperative (if n.a. min 6 months postoperative) debonding i.e. radiolucent line at the prosthesis-cement interface not visible on the first postoperative radiograph (yes-no-n.a.)
Change in radiological outcome: assessment of surgical treatment of femoral neck fractures day of surgical intervention (immediately after surgery) and 1year postoperative (if n.a. min 6 months postoperative) alignment on ap view (central axis of the distal stem to bisecting axis of medullary canal at the isthmus) in °
Trial Locations
- Locations (1)
Department of Orthopaedics and Trauma Surgery (DOTS).
🇨🇭Basel, Switzerland