Dynaloc for Treatment of Femoral Neck Fractures
Not Applicable
Terminated
- Conditions
- Femoral Neck Fracture
- Registration Number
- NCT02030431
- Lead Sponsor
- Aarhus University Hospital
- Brief Summary
A prospective, randomized study comparing the effectiveness of a new system, Dynaloc compared with three cancellous screws, for osteosynthesis of femoral neck fractures
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- All
- Target Recruitment
- 150
Inclusion Criteria
- Adult men or women (see age specifications below) with subcapital femoral neck fractures (stable or unstable) confirmed with anteroposterior and lateral hip radiographs, computed tomography, or magnetic resonance imaging (MRI).
- Patients between 50 and 69 years of age with any Garden type femoral neck fracture
- Patients older than 70 years of age with femoral neck fractures Garden type I and II
- Patients older than 70 years of age with a femoral neck fracture Garden types III and IV and contraindication to hemiarthroplasty.
- Operative treatment within 4 days (i.e., 72 hours) of presenting to the emergency room.
- Patient was ambulatory prior to fracture, though they may have used an aid such as a cane or a walker.
- Anticipated medical optimalization of the patient for operative fixation of the hip.
- Provision of informed consent by patient or proxy.
- Low energy fracture (defined as a fall from standing height).
- No other major trauma.
Exclusion Criteria
- Associated major injuries of the lower extremity (i.e., ipsilateral or contralateral fractures of the foot, ankle, tibia, fibula, knee, or femur; dislocations of the ankle, knee, or hip; or femoral head defects or fracture).
- Retained hardware around the affected hip.
- Abnormal opposite hip making end-point evaluation impossible
- Infection around the hip (i.e., soft tissue or bone).
- Patients with disorders of bone metabolism other than osteoporosis (i.e., Paget's disease, renal osteodystrophy).
- Moderate or severe cognitively impaired patients (i.e., Six Item Screener with three or more errors).
- Patients with Parkinson's disease (or dementia or other neurological deficit) severe enough to increase the likelihood of falling or severe enough to compromise rehabilitation.
- Likely problems, in the judgment of the 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.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Shortening of the femoral neck 1 year
- Secondary Outcome Measures
Name Time Method Reoperation 1 year
Trial Locations
- Locations (1)
Aarhus University Hospital
🇩🇰Aarhus, Denmark
Aarhus University Hospital🇩🇰Aarhus, Denmark