CT Scan in Per-trochanteric Fractures
Sensitivity of CT-scan as a Predictor of Fixation Failure in Per-trochanteric Fractures
1 other identifier
interventional
60
0 countries
N/A
Brief Summary
To assess the importance Of Ct scan in the prediction of fixation failure of per-trochanteric fractures
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jan 2020
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 2, 2019
CompletedFirst Posted
Study publicly available on registry
September 17, 2019
CompletedStudy Start
First participant enrolled
January 1, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2021
CompletedSeptember 17, 2019
September 1, 2019
1 year
September 2, 2019
September 13, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
CT scan lateral wall integrity (thickness measurement)
in millimeters
one year
Secondary Outcomes (6)
Patients' history (e.g. Charlson comorbidity index) and demographics
one year
CT scan detected comminution
one year
QCT measurement of BMD
one year
Fixation quality
one year
Functional and patient reported outcome scores
one year
- +1 more secondary outcomes
Interventions
1. Quantitative CT scan to measure localized osteoporosis and detection of cortices comminution. 2. Blinded surgeon decision as regard to replace or to fix using DHS or PFN (depending on x-rays data only). 3. Pathological assessment of osteoporosis in retrieved bone in patients whom hip replacement was decided. 4. Assessment of fixation failure in fixed fractures if occurred. 5. Fixation failure is defined as: 5.1. Lag cut through 5.2. Lag cutout 5.3. Z-effect (lag penetration) 5.4. Non-union (within 6 months) 5.5. Loss of reduction with progressive varus deformity 5.6. Femoral fracture 5.7. Intra-operative fracture of lateral wall or anterior cortex
Eligibility Criteria
You may qualify if:
- Age ≥ 60 years
- Pertrochanteric fracture requiring surgical treatment
- Ability to understand the content of the patient information
- Informed Consent Form (ICF)
- Willingness and ability to participate in the study
- Signed and dated IRB/ ECs-approved written informed Consent
- Mental capacity to comply with post-operative regimen, evaluation and data collection
- Ability to attend post-operative follow up visits
You may not qualify if:
- Known pathological fractures otherwise osteoporosis
- Prisoner
- Unable / unwilling to provide consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Radwan Metwally, Dr.
Ain Shams University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- SCREENING
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Registrar of orthopaedic surgery
Study Record Dates
First Submitted
September 2, 2019
First Posted
September 17, 2019
Study Start
January 1, 2020
Primary Completion
January 1, 2021
Study Completion
February 1, 2021
Last Updated
September 17, 2019
Record last verified: 2019-09
Data Sharing
- IPD Sharing
- Will not share