Lateral Decubitus vs Traction in the Supine Position in Proximal Femoral Nailing. Is There a Huge Difference?

NCT07410338 | Completed DMC

• 1 other identifier: FMASU MS734/2023
• Study Type: interventional
• Target: 77
• Locations: 1 country
• Sites: 1

Brief Summary

This study is designed to compare two positions in the management of unstable intertrochanteric femur fractures. It's to compare the traditional supine position using a traction table and lateral decubitus. This study is designed to Compare between The accuracy of reduction In both methods, in addition,the radiological exposure and other secondary outcomes, like the blood loss, are compared.

Conditions

Unstable Intertrochanteric Fracture

Keywords

Unstable intertrochanteric fracture; Proximal femoral nail; proximal femoral fractures; traction table; lateral decubitus

Outcome Measures

Primary Outcomes (2)

• Quality of radiographic reduction

  Optimum Tip-to-apex distance (TAD) is 25mm or less. * Normal femoral neck shaft angle between 125 and 145 degree. * The Baumgartner reduction quality criteria : - 1. Criterion one (alignment) : 1. Anterior posterior view : normal or slight valgus neck shaft angle 2. lateral view : less than 20 degree of angulation (Slight valgus means a valgus of no more 10 degrees) 2. Criterion two (displacement) : 1. Anterior posterior view: less than 4 mm of displacement of any fragment. 2. Lateral view: less than 4 mm of displacement of any fragment. 3. The reduction will be categorized as good if both criteria were met, acceptable if only one criterion was met, and poor if Neither criterion was met.

  immediate postoperative

• Fluoroscopic exposure time

  The fluoroscopic exposure time is defined as: The total duration of fluoroscopy use in minutes during the set up and the surgical procedure.

  intraoperative

Secondary Outcomes (2)

• Setup time

  Intraoperative

• Surgical time

  Intraoperative

Study Arms (2)

Lateral postion during proximal femoral nailing for unstable intertrochnateric femur fractures

ACTIVE COMPARATOR

Proximal femoral nailing in lateral decubitus position

Procedure: lateral decubitus postion during proximal femoral nailing for unstable intertrochnateric femur fractures

Supine postion using traction table in proximal femoral nailing intertrochanteric femur fractures

ACTIVE COMPARATOR

Proximal femoral nailing in supine position using traction table

Procedure: Proximal femoral nailing for unstable intertrochnateric femur fractures in supine psoition using traction table

Interventions

lateral decubitus postion during proximal femoral nailing for unstable intertrochnateric femur fractures PROCEDURE

different positions of the patient during the surgery

Lateral postion during proximal femoral nailing for unstable intertrochnateric femur fractures

Proximal femoral nailing for unstable intertrochnateric femur fractures in supine psoition using traction table PROCEDURE

different positions for the proximal femoral nailing

Supine postion using traction table in proximal femoral nailing intertrochanteric femur fractures

Eligibility Criteria

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

You may qualify if:

• Skeletally mature patients
• Unstable intertrochanteric fracture ( AO/OTA type 31A2 \& 31A3 )

You may not qualify if:

• Patients unfit for surgery
• Revision cases
• Patients with multiple or pathological, neglected or open fractures.

Sponsors & Collaborators

• Ain Shams University: lead

Study Sites (1)

Ain Shams University Hospitals

Cairo, 11566, Egypt

Location

MeSH Terms

Conditions

Proximal Femoral Fractures

Condition Hierarchy (Ancestors)

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

Study Officials

• Amr Ahmed Abd Elrahman Hasan, Professor of Orthopedics

  Department of Orthoepdics - Faculty of Medicine - Ain Shams University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 8, 2026
• First Posted: February 13, 2026
• Study Start: June 30, 2024
• Primary Completion: July 30, 2025
• Study Completion: July 30, 2025
• Last Updated: February 13, 2026

Record last verified: 2026-02

Locations

EG (1)