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Comparing Surgical Techniques for CRIF of Pertrochanteric Fractures

Not Applicable
Conditions
Femur Fracture
Interventions
Procedure: internal fixation (DHS - richard nail)
Procedure: internal fixation (inflatable PFN by DISCOTEC)
Registration Number
NCT00686023
Lead Sponsor
Tel-Aviv Sourasky Medical Center
Brief Summary

Hypothesis: Inflatable intra medullary femoral nailing is superior to DHS in terms of blood loss, operative complications and postoperative rehabilitation in the management of pertrochanteric femur neck fractures.

Detailed Description

patients with pertrochanteric fractures of the femur will be randomly assigned to one of 2 groups.

group 1 will undergo internal fixation using a DHS device. group 2 will undergo internal fixation using an inflatable intramedullary femoral nail device post operative care will be the same including DVT prophylaxis, early mobilization.

weight baring will be aloud in cases of a stable fracture (EVANS 1-3) non weight bearing until callus bridge in patients with unstable fractures (EVANS 4-6)

outcomes: death within first year

postoperative complications length of hospitalization time to mobilization functional score reontgenic evaluation

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Pertrochanteric femur fracture
  • Unilateral
  • Age over 60 years
  • Low energy trauma
  • ASA score 0-3
Exclusion Criteria
  • Reverse oblique fractures
  • Pathological fractures
  • Severe osteoarthritis of the hip joint
  • Previous operations on same leg
  • ASA score 4-5

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1internal fixation (DHS - richard nail)DHS fixation
2internal fixation (inflatable PFN by DISCOTEC)IMN fixation
Primary Outcome Measures
NameTimeMethod
death within 1 year of operation4 years
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

TASMC

🇮🇱

Tel Aviv, Israel

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