ISRCTN96308751已完成未知
Intramedullary Nail versus Sliding hip screw Inter-Trochanteric Evaluation (INSITE): a multicenter randomized controlled trial
Stryker Trauma GmbH (Germany)0 个研究点目标入组 736 人开始时间: 2011年10月18日最近更新:
适应症
试验速览
- 阶段
- 未知
- 状态
- 已完成
- 发起方
- 入组人数
- 736
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
入排标准
- 性别
- All
入选标准
- •Current inclusion criteria as of 05/04/2012:
- •1. Adult men or women aged 18 years and older (with no upper age limit)
- •2. An intertrochanteric fracture (stable or unstable), AO Type 31-A1 or 31-A2, confirmed with anteroposterior and lateral hip radiographs, computed tomography, or magnetic resonance imaging (MRI)
- •3. Low energy fracture (defined as a fall from standing height)
- •4. No other major trauma
- •5. Patient was ambulatory prior to fracture, though they may have used an aid such as a cane or a walker
- •6. Anticipated medical optimization of the patient for operative fixation of the proximal femur
- •7. Operative treatment within 7 days after the trauma (operative treatment should take place as soon as possible as permitted by each institution's standard of care)
- •8. Provision of informed consent by patient or proxy
- •Previous inclusion criteria:
- •1. Adult men or women aged 18 years and older (with no upper age limit)
- •2. A trochanteric fracture (stable or unstable) confirmed with anteroposterior and lateral hip radiographs, computed tomography, or magnetic resonance imaging (MRI)
- •3. Low energy fracture (defined as a fall from standing height)
- •4. No other major trauma
- •5. Patient was ambulatory prior to fracture, though they may have used an aid such as a cane or a walker
- •6. Anticipated medical optimization of the patient for operative fixation of the proximal femur
- •7. Operative treatment within 7 days after the trauma (operative treatment should take place as soon as possible as permitted by each institution's standard of care)
- •8. Provision of informed consent by patient or proxy
排除标准
- •Current exclusion criteria as of 05/04/2012:
- •1. Associated major injuries of the lower extremity (i.e. ipsilateral and/or contralateral fractures of the foot, ankle, tibia, fibula, or knee; dislocations of the ankle, knee, or hip)
- •2. Retained hardware around the affected proximal femur
- •3. Infection around the proximal femur (i.e. soft tissue or bone)
- •4. Patients with disorders of bone metabolism other than osteoporosis (i.e. Paget's disease, renal osteodystrophy, or osteomalacia)
- •5. Patients with Parkinson's disease severe enough to increase the likelihood of falling or severe enough to compromise rehabilitation
- •6. Patients with a subtrochanteric fracture
- •7. Patients with a pathologic fracture
- •8. Patients with a reverse oblique fracture pattern, fracture AO Type 31-A3
- •9. Obesity in the judgment of the attending surgeon
- •10. Off-label use of the implant
- •11. Patients with a previous history of frank dementia that would interfere with assessment of the primary outcome (i.e., EQ-5D at 1 year)
- •12. Likely problems, in the judgment of the Site 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.
- •13. Patient is enrolled in another ongoing drug or surgical intervention trial
- •14. If the attending surgeon believes that there is another reason to exclude this patient from INSITE. This reason will be documented on the case report forms
- •Previous exclusion criteria:
- •1. Associated major injuries of the lower extremity (i.e. ipsilateral and/or contralateral fractures of the foot, ankle, tibia, fibula, or knee; dislocations of the ankle, knee, or hip)
- •2. Retained hardware around the affected proximal femur
- •3. Infection around the proximal femur (i.e. soft tissue or bone)
- •4. Patients with disorders of bone metabolism other than osteoporosis (i.e. Paget's disease, renal osteodystrophy, or osteomalacia)
- •5. Patients with Parkinson's disease severe enough to increase the likelihood of falling or severe enough to compromise rehabilitation
- •6. Patients with a subtrochanteric fracture
- •7. Patients with a pathologic fracture
- •8. Patients with a reverse oblique fracture pattern
- •9. Obesity in the judgment of the attending surgeon
- •10. Off-label use of the implant
- •11. Patients with a previous history of frank dementia that would interfere with assessment of the primary outcome (i.e., EQ-5D at 1 year)
- •12. Likely problems, in the judgment of the investigators, with maintaining followup. E.g. 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
- •13. Patient is enrolled in another ongoing drug or surgical intervention trial
- •14. If the attending surgeon believes that there is another reason to exclude this patient from INSITE. This reason will be documented on the case report forms
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