Femoral Neck Locking Plate Vs Multiple Cannulated Cancellous Screws in Treatment of Femoral Neck Fractures in Young Adults: Randomized Controlled Clinical Trial Study

Not Applicable

Not yet recruiting

• Conditions: Femoral Neck Fractures
• Interventions: Device: femoral neck locking plate; Device: multiple cannulated cancellous screws

• Registration Number: NCT06162637
• Lead Sponsor: Eslam Mohamed AHmed

Brief Summary

Fracture neck femur are common injuries, especially seen in the elderly in the emergency setting. It is also seen in young patients with high-energy trauma. Immediate diagnosis and management are required to prevent threatening joint complications. Fracture neck femur in young adults is unsolved problem. The preservation of the native hip anatomy and biomechanics is essential in active young adults. Because of the vulnerable blood supply to the femoral part of the hip joint following these fractures, there is a high risk of developing avascular necrosis (AVN) and non-union. Any sort of surgical fixation should aim at preservation the blood supply while securing enough mechanical stability until the fracture unites. Open reduction is indicated in fractures which cannot be anatomically reduced by gentle manipulation. This should be carried out without any delay since this potentially can reduce the incidence of AVN. Treatment of fracture neck femur still controversial. There are several methods for treatment of fracture neck femur as multipe cannulated cancellous screws, locking plate, dynamic hip screw (DHS) with anti-rotational screw, and arthroplasty. There is no internal fixation method superior to another. In this study, we will compare the clinical and radiographic results of femoral neck locking plate vs multiple cannulated cancellous screw in treating femoral neck fractures in young adults.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2023-11-27
• Status Verified: 2023-12
• Study First Submitted QC: 2023-12-07
• Study First Posted: 2023-12-08
• Last Update Submitted: 2023-12-15
• Last Update Posted: 2023-12-19
• Study Start: 2024-01-01
• Primary Completion: 2024-12-01
• Study Completion: 2025-01-01

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 20

Inclusion Criteria

• patients (20-55) years
• having unilateral traumatic femoral neck fracture
• idependent walker before trauma without any aids

Exclusion Criteria

• open fracture
• pathological fracture
• preexisting deformity
• other pelvic or ipsilateral femoral injuries
• renal impairment or were on high dose steroids

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
A	femoral neck locking plate	grup A with femoral neck fracture will be fixed by femoral neck locking plate
B	multiple cannulated cancellous screws	grup B with femoral neck fracture will be fixed by Multiple cannulated cancellous screws

Primary Outcome Measures

Name	Time	Method
Clinical evaluation of gait limping on the Harris Hip Score (HHS) 6 months post operative	6 months	the Harris Hip Score (HHS) is a scale used for evaluating patients following hip fractures. possible scores for limping gait range from 11 (none) to 0 (unable to walk).
improvement of pain on the Harris Hip Score (HHS) 6 months post operative	6 months	the Harris Hip Score (HHS) is a scale used for evaluating patients following hip fractures. possible scores range for improvement of pain from 44 (no pain) to 0 (totally disabled cripped pain).

Trial Locations

Locations (1)

Sohag university Hospital; 🇪🇬 Sohag, Egypt