Femoral Neck Fracture Between 45 and 64 Years : Internal Fixation Versus Arthroplasty

NCT05577780 | Unknown

• 1 other identifier: mongislim1
• Study Type: observational
• Target: 60
• Locations: 0 countries
• Sites: N/A

Brief Summary

The therapeutic choice for femoral neck fracture is conventionally made between conservative treatment and total hip arthroplasty. This choice for patients aged between 45 and 64 years old remains a controversial subject. The aim of our work was to describe the current situation in the management of femoral neck fractures in these patients and to evaluate the results of the two options

Conditions

Femoral Neck Fractures

Outcome Measures

Primary Outcomes (5)

• The Parker Mobility Score

  The Parker Mobility Score answers three questions, each valued 0-3 points. Based on the sum of the mobility assessment in three different situations (able to get about the house, able to get out of the house and able to go shopping), the total score ranges from 0-9. For each of the three situations the mobility has to be scored on: no difficulty (3 points), with an aid (2 points), with help from another person (1 point) or not at all (0 points). The highest overall score of 9 indicates the best possible mobility

  Baseline, Month 3

• The Parker Mobility Score

  The Parker Mobility Score answers three questions, each valued 0-3 points. Based on the sum of the mobility assessment in three different situations (able to get about the house, able to get out of the house and able to go shopping), the total score ranges from 0-9. For each of the three situations the mobility has to be scored on: no difficulty (3 points), with an aid (2 points), with help from another person (1 point) or not at all (0 points). The highest overall score of 9 indicates the best possible mobility

  Baseline, Month 6

• GARDEN classification

  Garden described particular femoral neck and acetabular trabeculae patterns which can assist in recognizing differences within this classification system Garden stage I: undisplaced incomplete, including valgus impacted fractures medial group of femoral neck trabeculae may demonstrate a greenstick fracture Garden stage II: undisplaced complete no disturbance of the medial trabeculae Garden stage III: complete fracture, incompletely displaced femoral head tilts into a varus position causing its medial trabeculae to be out of line with the pelvic trabeculae Garden stage IV: complete fracture, completely displaced femoral head aligned normally in the acetabulum and its medial trabeculae are in line with the pelvic trabeculae In general, stage I and II are stable fractures and can be treated with internal fixation (head-preservation) and stage III and IV are unstable fractures and hence treated with arthroplasty (either hemi- or total arthroplasty)

  Baseline

• Postel Merle d'Aubigné score(PMA)

  the rating of Postel Merle D'Aubigné studies the pain, mobility and the walk and gives them a value from 0 to 6, allowing a global assessment of hip's function with a total of 18 marks for a normal hip. The PMA score is excellent if the score is 18, very good if the score is 17, good if the score is between 15 and 16, average if the score is between 13 and 14, poor if the score is between 9 and 12 and bad if the score is less than 9.

  Baseline, Month 3

• Postel Merle d'Aubigné score(PMA)

  the rating of Postel Merle D'Aubigné studies the pain, mobility and the walk and gives them a value from 0 to 6, allowing a global assessment of hip's function with a total of 18 marks for a normal hip. The PMA score is excellent if the score is 18, very good if the score is 17, good if the score is between 15 and 16, average if the score is between 13 and 14, poor if the score is between 9 and 12 and bad if the score is less than 9.

  Baseline, Month 6

Study Arms (2)

internal fixation

Procedure: internal fixation

arthroplasty

Procedure: internal fixation

Interventions

internal fixation PROCEDURE

Patients with femoral neck fractures are treated with pinning or hip arthroplasty, depending on the age of the patient and the presence and degree of displacement

Also known as: arthroplasty

arthroplasty; internal fixation

Eligibility Criteria

• Age: 45 Years - 64 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)
• Sampling Method: Probability Sample

Study Population

Femoral neck fracture between 45 and 64 years

You may qualify if:

• Femoral neck fracture between 45 and 64 years

Sponsors & Collaborators

• Mongi Slim Hospital: lead

MeSH Terms

Conditions

Femoral Neck Fractures

Interventions

Fracture Fixation, Internal; Arthroplasty

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Fracture Fixation; Orthopedic Procedures; Therapeutics; Surgical Procedures, Operative; Plastic Surgery Procedures

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator, medical doctor, assistant professor

Study Record Dates

• First Submitted: September 27, 2022
• First Posted: October 13, 2022
• Study Start: January 10, 2015
• Primary Completion: December 10, 2022
• Study Completion: January 10, 2023
• Last Updated: October 13, 2022

Record last verified: 2022-10