Outcomes of Open Reduction and Internal Fixation of Femoral Neck Fractures Using Dynamic Hip Screw Vs Cannulated Screws and Medial Buttress Plate
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 3
- 试验地点
- 1
- 主要终点
- Harris hip score
研究概览
简要总结
Outcomes of open reduction and internal fixation of femoral neck fractures using dynamic hip screw versus cannulated screws combined with medial buttress plate.
详细描述
-Femoral neck fractures (FNFs) in patients under the age of 50 years account for less than 5% of all hip fractures and are typically the result of a high-energy event.
FNFs in young patients, particularly displaced fractures, are challenging to treat. Internal fixation remains the consensus, and the quality of the reduction is more important than the time to surgery.
Femoral head necrosis and fracture nonunion have always been the two major complications of femoral neck fracture treatment, which greatly increases the difficulty of treatment and places a high burden on social and medical resources.
As previous studies have demonstrated, reoperation rate for a failure of internal fixation ranges from 10% to 48.8% and has remained largely unchanged over the past 30 years.
There are many options to treat femoral neck fracture. Previous studies reported that femoral neck fractures with following surgery are associated implant failure.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 16 Years 至 60 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •patients of both genders between the ages of 16 to 60 years old and had trauma caused femoral neck fracture.
- •patients of both genders with Garden's type three and four femoral neck fractures
排除标准
- •patients of both genders below the age of 16 and above 60 years old.
- •patients with pathological femoral neck fractures.
- •patients with autoimmune diseases like rheumatoid arthritis.
- •patients with neglected femoral neck fractures(more than 1 week).
研究组 & 干预措施
Open reduction of femoral neck fractures in healthy adults
Open reduction of femoral neck fractures in healthy adults between 16 years and 60 years old using cannulated screws and medial buttress plate through watson jones or smith peterson approach
干预措施: Open reduction of femoral neck fractures and internal fixation by dynamic hip screws (Procedure)
Open reduction of femoral neck fractures in healthy adults
Open reduction of femoral neck fractures in healthy adults between 16 years and 60 years old using cannulated screws and medial buttress plate through watson jones or smith peterson approach
干预措施: Open reduction of femoral neck fractures using watson jones or smith peterson approachand internal fixation by cannulated screws and medial buttress plate (Procedure)
Open reduction of femoral neck fractures
Open reduction and internal fixation of femoral neck fracture in healthy adults between 16 years and 60 years old using dynamic hip screw through watson jones or smith peterson approach
干预措施: Open reduction of femoral neck fractures and internal fixation by dynamic hip screws (Procedure)
Open reduction of femoral neck fractures
Open reduction and internal fixation of femoral neck fracture in healthy adults between 16 years and 60 years old using dynamic hip screw through watson jones or smith peterson approach
干预措施: Open reduction of femoral neck fractures using watson jones or smith peterson approachand internal fixation by cannulated screws and medial buttress plate (Procedure)
结局指标
主要结局
Harris hip score
时间窗: 3 years
Using harris hip score evaluate to evaluate post operative: 1. pain 2. amount and type of support 3. limp 4. distance walked 5. shoes and socks 6. sitting 7. climbing stairs
次要结局
未报告次要终点
研究者
Samer youssef mansour meglaa
Assistant Lecturer
Assiut University