A Randomized Control Trial comparing functional and radiological outcomes in management of intertrochanteric fractures of femur using dual screws without cementation vs. dual screws with cementation.

Title: Functional and Radiological Outcomes of Dual Screws with and

without Cementation in Intertrochanteric Femur Fractures: A Randomized

Controlled Trial

Background: Intertrochanteric hip fractures are prevalent among the elderly

and pose substantial healthcare burdens. Commonly resulting from falls in

osteoporotic individuals, these fractures are associated with perioperative

complexities due to comorbidities. Intramedullary implants, such as dual

screws, are frequently utilized for managing unstable pertrochanteric

fractures. However, mechanical failures, including catastrophic events like

cut-out or cut-through, remain a concern despite optimal reduction and

implant placement. Bone cement augmentation around screws offers potential

to enhance primary stability and long-term implant anchorage.

Justification: Given the clinical significance of reducing catastrophic failures

and associated complications, investigating the efficacy of bone cement

augmentation in mobile elderly patients with closed unstable trochanteric

fractures is crucial. This study aims to evaluate the impact of bone cement

use on radiological and functional outcomes, including postoperative

radiographs, complications, and hip function scores.

Study Design: This randomized controlled trial will compare outcomes

between two cohorts: one receiving dual screws with bone cement

augmentation and the other without augmentation. Radiological assessments,

complications, and functional outcomes, measured through modified Harris

Hip Score and Numerical Pain Rating Score, will be evaluated

postoperatively.

The concise title encapsulates the study’s focus on assessing the effects of

dual screw fixation with and without cementation on functional and

radiological outcomes in intertrochanteric femur fractures.