Femoral Neck Fractures Clinical Trial
Official title:
Mini-invasive Preventive Fixation of the Contralateral Femoral Neck in Patients Operated on for a Femoral Neck Fracture
In France, the annual incidence of hip fracture is about 80 000 with more than 75% of these
fractures occurring in patients aged 80 years old or more. About 10% percent of patients
presenting with a hip fracture will sustain a contralateral hip fracture, most within 3
years. The consequences of a hip fracture are dramatic: 20% of patients die in the first year
and less than half those who survive regain their previous level of function. Hip fractures
are invariably associated with chronic pain, reduced mobility, disability, and an increasing
degree of dependence. The efficacy of pharmacological treatments to prevent a contralateral
hip fracture is marginal and postponed and compliance is known to be poor.
Osteoporosis is associated with cortical thinning and trabecular bone loss. Therefore, the
mini-invasive preventive fixation (MIPF) of the contralateral femoral neck is appealing. The
effect is immediate and compliance is certain. Morbidity is minimal because it is performed
during the same operation as the fixation of the femoral neck fracture.
The main objective of this study is to determine whether the mini-invasive preventive
fixation (MIPF) of the contralateral femoral neck in patients having a femoral neck fracture
is superior to no fixation regarding the occurrence of a contralateral hip fracture within 3
years.
n/a
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