Early Functional Outcomes in Unisplaced Neck of Femur Fracture Treated With Partially Threaded and Fully Threaded Cannulated Screw Fixation in Patients of Age 60 and Above

NCT05587660 | Completed

• 1 other identifier: NishtarMU123
• Study Type: interventional
• Target: 82
• Locations: 1 country
• Sites: 1

Brief Summary

This study is done to compare the partially threaded versus fully threaded cannulated screw fixation methods in stable neck of femur fracture in terms of early functional outcomes in patients of age 60 and above. A total of 82 (41 in each group) patients of both genders, aged 60 or above. The Radiographic Union Scale for Hip (RUSH) and Harris Hip score to be used to evaluate fracture healing.

Conditions

Neck of Femur Fracture

Keywords

Cannulated screw; fracture; Hip Harris score

Outcome Measures

Primary Outcomes (1)

• Harris Hip Score (RUSH SCORE)

  Harris Hip Score (RUSH SCORE) is the method to assess the result of hip surgery and is intended to evaluate various hip disabilities and methods of treatment. RUSH Score was calculated with "Rradiographic Union Score for Hip (RUSH)", designed to improve intra-and inter-observer reliability when describing the radiographic healing.

  6-months

Study Arms (2)

Partially threaded cannulated screw fixation

EXPERIMENTAL

In Group-A patients, cannulated screw fixation was done using partially threaded screws. In this procedure, first step was insertion of three guide wires under image. The 1st guide wire was inserted immediately above calcar and into femoral head. The second wire was placed posteriorly adjacent to posterior cortex of neck on lateral view. Finally, third guide wire was placed anteriorly and superiorly. Drilling of lateral cortex was done before insertion of screws. Then partially threaded screw fixation was done before removal of guide wires using washers.

Procedure: Fully threaded cannulated screws

Fully threaded cannulated screws fixation

EXPERIMENTAL

The surgical approach in fully thread cannulated screws fixation group will remain same but instead of partially threaded screwsm fully threaded screws to be used in this group.

Procedure: Fully threaded cannulated screws

Interventions

Fully threaded cannulated screws PROCEDURE

The most popular method in undisplaced neck of femur fracture include internal fixation by cannulated screws in which screws can be inserted relatively simply and atraumatically as compared to other methods. Screws can be used partially threaded or fully threaded; however studies on fully threaded screw fixation method are inconclusive.

Fully threaded cannulated screws fixation; Partially threaded cannulated screw fixation

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients of garden type I or II fractures.
• All patients to be mobile before femoral neck fracture.

You may not qualify if:

• Patients having open fracture.
• Patients with present or past history of chronic kidney disorder.
• Patients presenting with hemorrhage.
• Patient with nervous stroke
• Patients unwilling to be part of this study.

Sponsors & Collaborators

• Nishtar Medical University: lead

Study Sites (1)

Nishtar Medical University Hospital

Multan Khurd, Punjab Province, 63100, Pakistan

Location

Related Publications (1)

• Awais MZ, Salik E, Bokhari SHR, Iqbal MT. A comparative study of early functional outcomes in undisplaced neck of femur fracture treated with partially threaded and fully threaded cannulated screw fixation in patients above 60 years age. Pak J Med Sci. 2023 Sep-Oct;39(5):1531-1534. doi: 10.12669/pjms.39.5.7330.

  PMID: 37680815 DERIVED

MeSH Terms

Conditions

Femoral Neck Fractures; Fractures, Bone

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: No masking
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Consultant Gynecologist

Model Details: Randomization to be done through lottery method and then the allocation to be made in both study groups.

Study Record Dates

• First Submitted: October 17, 2022
• First Posted: October 20, 2022
• Study Start: July 1, 2021
• Primary Completion: July 30, 2022
• Study Completion: July 30, 2022
• Last Updated: October 20, 2022

Record last verified: 2022-10

Locations

PA (1)