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IMN Diameter to Femoral Canal Diameter and Union

Femoral Shaft Fracture Clinical Trial

Official title:
Does Intramedullary Nail Diameter to Canal Ratio Predict the Incidence of Femoral Nonunion?

Clinical Trial Summary

To Detect the Relation Between the Intramedullary Nail Diameter to Canal Ratio and the Incidence of Non-union

Clinical Trial Description

Femoral intramedullary nail fixation is currently considered the ''gold standard'' for treatment of femoral shaft fractures in adult population. Clinical outcomes after operative treatment of proximal femur fracture have been shown to be dependent on achieving optimal mechanical alignment and union. Patient independent risk factors associated with nonunion after intramedullary fixation includes: open fracture, undreamed intramedullary nailing, fracture comminution, non-isthmal and particularly infra-isthma fracture location and infection. Patient dependent risk factors include smoking, diabetes, nonsteroidal anti-inflammatory medications, closed head injury and delayed weight. Unreamed nailing allows for better maintenance of the endosteal circulation at the expense of smaller diameter implants; in contrast, reamed applications permit a larger diameter nail, resulting in stronger fixation constructs and earlier fracture union. After reaming, a larger diameter intramedullary nail is placed. When initially reported, this treatment resulted in high success rates. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT04195334
Study type Interventional
Source Assiut University
Contact mina kamal, master
Phone +201203380329
Email minakamalcr7@gmail.com
Status Not yet recruiting
Phase N/A
Start date January 1, 2021
Completion date December 31, 2021
View Details
See also
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Terminated NCT01327508 - TRIGEN SURESHOT™ Distal Targeting System Study N/A
Completed NCT00471913 - Functional Outcome and MRI of Muscle Damage Following Nailing Procedure in Femur (Thigh) Fractures Using Different Entry Points N/A