Femoral Neck Locking Plate Vs Multiple Cannulated Cancellous Screws in Treatment of Femoral Neck Fractures in Young Adults: Randomized Controlled Clinical Trial Study

NCT06162637 | Unknown

• 1 other identifier: Soh-Med-23-11-02MS
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Fracture neck femur are common injuries, especially seen in the elderly in the emergency setting. It is also seen in young patients with high-energy trauma. Immediate diagnosis and management are required to prevent threatening joint complications. Fracture neck femur in young adults is unsolved problem. The preservation of the native hip anatomy and biomechanics is essential in active young adults. Because of the vulnerable blood supply to the femoral part of the hip joint following these fractures, there is a high risk of developing avascular necrosis (AVN) and non-union. Any sort of surgical fixation should aim at preservation the blood supply while securing enough mechanical stability until the fracture unites. Open reduction is indicated in fractures which cannot be anatomically reduced by gentle manipulation. This should be carried out without any delay since this potentially can reduce the incidence of AVN. Treatment of fracture neck femur still controversial. There are several methods for treatment of fracture neck femur as multipe cannulated cancellous screws, locking plate, dynamic hip screw (DHS) with anti-rotational screw, and arthroplasty. There is no internal fixation method superior to another. In this study, we will compare the clinical and radiographic results of femoral neck locking plate vs multiple cannulated cancellous screw in treating femoral neck fractures in young adults.

Conditions

Femoral Neck Fractures

Outcome Measures

Primary Outcomes (2)

• improvement of pain on the Harris Hip Score (HHS) 6 months post operative

  the Harris Hip Score (HHS) is a scale used for evaluating patients following hip fractures. possible scores range for improvement of pain from 44 (no pain) to 0 (totally disabled cripped pain).

  6 months

• Clinical evaluation of gait limping on the Harris Hip Score (HHS) 6 months post operative

  the Harris Hip Score (HHS) is a scale used for evaluating patients following hip fractures. possible scores for limping gait range from 11 (none) to 0 (unable to walk).

  6 months

Study Arms (2)

A

OTHER

grup A with femoral neck fracture will be fixed by femoral neck locking plate

Device: femoral neck locking plate

B

OTHER

grup B with femoral neck fracture will be fixed by Multiple cannulated cancellous screws

Device: multiple cannulated cancellous screws

Interventions

femoral neck locking plate DEVICE

femoral neck fractures fixation by femoral neck locking plate

A

multiple cannulated cancellous screws DEVICE

femoral neck fractures fixation by multiple cannulated cancellous screws

B

Eligibility Criteria

• Age: 20 Years - 55 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• patients (20-55) years
• having unilateral traumatic femoral neck fracture
• idependent walker before trauma without any aids

You may not qualify if:

• open fracture
• pathological fracture
• preexisting deformity
• other pelvic or ipsilateral femoral injuries
• renal impairment or were on high dose steroids

Sponsors & Collaborators

• Eslam Mohamed AHmed: lead

Study Sites (1)

Sohag university Hospital

Sohag, Egypt

Location

Related Publications (5)

• Panula J, Pihlajamaki H, Mattila VM, Jaatinen P, Vahlberg T, Aarnio P, Kivela SL. Mortality and cause of death in hip fracture patients aged 65 or older: a population-based study. BMC Musculoskelet Disord. 2011 May 20;12:105. doi: 10.1186/1471-2474-12-105.

  PMID: 21599967 BACKGROUND

• Crist BD, Eastman J, Lee MA, Ferguson TA, Finkemeier CG. Femoral Neck Fractures in Young Patients. Instr Course Lect. 2018 Feb 15;67:37-49.

  PMID: 31411399 BACKGROUND

• Ly TV, Swiontkowski MF. Treatment of femoral neck fractures in young adults. J Bone Joint Surg Am. 2008 Oct;90(10):2254-66. No abstract available.

  PMID: 18829925 BACKGROUND

• Haidukewych GJ, Rothwell WS, Jacofsky DJ, Torchia ME, Berry DJ. Operative treatment of femoral neck fractures in patients between the ages of fifteen and fifty years. J Bone Joint Surg Am. 2004 Aug;86(8):1711-6. doi: 10.2106/00004623-200408000-00015.

  PMID: 15292419 BACKGROUND

• Othman YA, Khalefa AH, Ahmed IM, Ahmed KFE. Femoral neck locking plate versus multiple cannulated screws for femoral neck fractures in young adults: a randomized controlled trial. BMC Musculoskelet Disord. 2025 Aug 18;26(1):799. doi: 10.1186/s12891-025-09019-7.

  PMID: 40826062 DERIVED

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

Islam M Ahmed, resident

CONTACT

01094375737; eslammohamed@med.sohag.edu.eg

Abdelrahman H Khalifa, professor

CONTACT

01003701283

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Resident of Orthopaedic department, Sohag University Hospitals

Study Record Dates

• First Submitted: November 27, 2023
• First Posted: December 8, 2023
• Study Start: January 1, 2024
• Primary Completion: December 1, 2024
• Study Completion: January 1, 2025
• Last Updated: December 19, 2023

Record last verified: 2023-12

Locations

EG (1)