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临床试验/NCT02030431
NCT02030431终止不适用

Dynaloc vs. Multiple Cancellous Screws for Treatment of Femoral Neck Fractures

Aarhus University Hospital2 个研究点 分布在 1 个国家目标入组 150 人开始时间: 2014年3月1日最近更新:
适应症

试验速览

阶段
不适用
状态
终止
发起方
入组人数
150
试验地点
2
主要终点
Shortening of the femoral neck

研究概览

简要总结

A prospective, randomized study comparing the effectiveness of a new system, Dynaloc compared with three cancellous screws, for osteosynthesis of femoral neck fractures

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
None

入排标准

年龄范围
50 Years 至 110 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • 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.

排除标准

  • 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.

结局指标

主要结局

Shortening of the femoral neck

时间窗: 1 year

次要结局

  • Reoperation(1 year)

研究者

发起方
Aarhus University Hospital
申办方类型
Other
责任方
Principal Investigator
主要研究者

Lars C. Borris

Consultant of Orthopaedic surgery

Aarhus University Hospital

研究点 (2)

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