Fixation of Fracture Neck of Femur in Children by Cannulated Screws VS Wagner's Technique.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 42
- 试验地点
- 2
- 主要终点
- The better method for fixation of fracture neck of femur
研究概览
简要总结
Find the best way for fixation of fracture neck of femur in children either by cannulated screws or wagner's technique
详细描述
In the pediatric population, fracture of the neck of femur is relatively uncommon usually caused by high-energy trauma, but with high complication rates, despite appropriate diagnosis and management. The high rate of complication is due to the vascular anatomy of proximal femur.
Fracture neck of femur can be classified into transphyseal , transcervical (which is commonest), basal and pertrochanteric.
Complications include avascular necrosis, delayed union and non-union. Multiple fracture fixation methods have been used, with the overall goal being anatomic reduction with stable fixation.
Methods of fixation vary based on age, Delbet classification and dispalcement of the fracture.
Two types of fixation of pediatric fracture NOF of interest are cannulated screw (CS) and the Wagner technique.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 1 Year 至 14 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •clinical diagnosis of fracture neck of femur
- •children with age less than 14 years old
排除标准
- •pathological fracture
- •patients with cerebral palsy
- •Associated ipsilateral femoral shaft fracture
- •comminuted fractures
- •old fracture ( > 2 weeks)
研究组 & 干预措施
Patients with fracture neck of femur fixed by cannulated screws
Fix the fracture by two to three cannulatef screws
干预措施: Cannulated screws vs wagner's technique (Procedure)
Patient with fracture neck of femur fixed by wagner's technique
Fix the fracture by three to four k-wires
干预措施: Cannulated screws vs wagner's technique (Procedure)
结局指标
主要结局
The better method for fixation of fracture neck of femur
时间窗: Baseline, one year
The rate of cases with complications with avascular necrosis in each method
次要结局
未报告次要终点
研究者
Mina Maged
Resident in assiut university hospital , orthopaedic department
Assiut University