Vertical Femoral Neck Fractures in Young Adult Patients

NCT04687592 | Unknown

• 1 other identifier: Femoral Neck Fractures
• Study Type: observational
• Target: 30
• Locations: 0 countries
• Sites: N/A

Brief Summary

Does the current techniques of internal fixation of vertical neck fracture in young adult patients give a satisfactory radiological and functional outcome at one year follow up?

Conditions

Femoral Neck Fractures

Outcome Measures

Primary Outcomes (1)

• radiological and functional evaluation of the time and rate of union according harris hip score

  The domains covered in Harris hip score are pain, function, absence of deformity, and range of motion. The pain domain measures pain severity and its effect on activities and need for pain medication. The function domain consists of daily activities (stair use, using public transportation, sitting, and managing shoes and socks) and gait (limp, support needed, and walking distance). Deformity takes into account hip flexion, adduction, internal rotation, and extremity length discrepancy. Range of motion measures hip flexion, abduction, external and internal rotation, and adduction .

  one year

Interventions

reduction and fixation PROCEDURE

* Reduction: one trial of closed reduction under anaesthesia and image control. Open reduction will be done by anterolateral or lateral approach if closed reduction failed * Fixation: internal fixation of the fracture by appropriate implant according to the fracture state

Eligibility Criteria

• Age: 20 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

adults patients with recent vertical femoral neck fracture

You may qualify if:

• Age of the patients from 20 to 50 years
• Pauwel type III fractures
• Recent fracture within one week

You may not qualify if:

• Open fractures
• Pathological or osteoporotic fractures.
• Patient with comorbidities: D.M, renal patient, neurological deficits.
• Patient associated with femoral head fractures or head impaction.

Sponsors & Collaborators

• Assiut University: lead

Related Publications (5)

• Macaulay W, Yoon RS, Parsley B, Nellans KW, Teeny SM; DFACTO Consortium. Displaced femoral neck fractures: is there a standard of care? Orthopedics. 2007 Sep;30(9):748-9. doi: 10.3928/01477447-20070901-08.

  PMID: 17899921 BACKGROUND

• Bartonicek J. Pauwels' classification of femoral neck fractures: correct interpretation of the original. J Orthop Trauma. 2001 Jun-Jul;15(5):358-60. doi: 10.1097/00005131-200106000-00009.

  PMID: 11433141 BACKGROUND

• Ye Y, Hao J, Mauffrey C, Hammerberg EM, Stahel PF, Hak DJ. Optimizing Stability in Femoral Neck Fracture Fixation. Orthopedics. 2015 Oct;38(10):625-30. doi: 10.3928/01477447-20151002-05.

  PMID: 26488776 BACKGROUND

• Collinge CA, Mir H, Reddix R. Fracture morphology of high shear angle "vertical" femoral neck fractures in young adult patients. J Orthop Trauma. 2014 May;28(5):270-5. doi: 10.1097/BOT.0000000000000014.

  PMID: 24096307 BACKGROUND

• Luttrell K, Beltran M, Collinge CA. Preoperative decision making in the treatment of high-angle "vertical" femoral neck fractures in young adult patients. An expert opinion survey of the Orthopaedic Trauma Association's (OTA) membership. J Orthop Trauma. 2014 Sep;28(9):e221-5. doi: 10.1097/BOT.0000000000000080.

  PMID: 25148589 BACKGROUND

MeSH Terms

Conditions

Femoral Neck Fractures

Condition Hierarchy (Ancestors)

Hip Fractures; Femoral Fractures; Fractures, Bone; Wounds and Injuries; Hip Injuries; Leg Injuries

Central Study Contacts

thomas magdi labieb

CONTACT

+201274638308; thomasmagdi22@gmail.com

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: resident at orthopedic department

Study Record Dates

• First Submitted: November 15, 2020
• First Posted: December 29, 2020
• Study Start: June 1, 2021
• Primary Completion: June 1, 2023
• Study Completion: September 1, 2023
• Last Updated: December 29, 2020

Record last verified: 2020-12