Femoral Neck Fractures Clinical Trial
Official title:
Re-Evaluation of GAmma3 Intramedullary Nails in Hip Fracture: A Multi-Centre Randomized Controlled Trial of Gamma3 Intramedullary Nails Versus Sliding Hip Screws in the Management of Intertrochanteric Fractures of the Hip
The purpose of this study is to assess the impact of Gamma3 intramedullary nails versus sliding hip screws on rate of revision surgery in individuals with inter-trochanteric fractures. Secondary outcomes include fracture healing rates, fracture related complications, and health-related quality of life.
Hip fractures are becoming a more prevalent issue worldwide, leading to profound morbidity,
and in some cases, mortality. Currently the most common method of surgical treatment
includes the use of a sliding hip screw over a Gamma intramedullary nail, but there is
conflicting evidence regarding which device has a lower revision of surgery rate and
complication rate. The newest generation of Gamma3 nails have strong rationale suggesting
significantly decreased rates of femoral shaft fractures and improved function. The
improvements in implant design of the Gamma3 nail provide compelling rationale for the
conduct of a large, definitive trial, and therefore a pilot study is being conducted to
confirm or refute our ability to recruit patients and assess the consistency between site
estimates and actual recruitment, determine the degree to which site investigators can
adhere to trial protocol, confirm or refute our anticipated ability to achieve close to 100%
follow- up, assess our ability to maintain 100% data quality, field test our case report
forms for clarity and appropriateness, and to determine whether we can successfully manage
the logistics of coordinating trial activities across multiple sites.
This trial is a pilot, multi-center, concealed randomized controlled trial. Surgeons will
use one of the two surgical strategies in patients who have sustained a trochanteric
fracture; the Gamma3 intramedullary nail or the sliding hip screw. Clinical assessments will
occur at the time of hospital admission, 1 week, 3 months, 6 months, and 12 months after
surgery.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment
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