Results of Gamma Nail in Trochentric Fractures of the Adults

Trochanteric Fractures Clinical Trial

Official title:

Results of Gamma Nail in Trochentric Fractures of the Adults

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT03531983
• Other study ID #: G.nail in trochentric frs
• Status: Not yet recruiting
• Start date: June 1, 2019
• Est. completion date: December 2020

Study information

• Verified date: January 2019
• Source: Assiut University
• Contact: ahmed G helmy
• Phone: 01111858288
• Email: ahmedhelmo2[@]gmail.com
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

We prospectively reviewed the results of 30 patients who had undergone intramedullary fixation with a gamma nail for femur trochentric fractures in AUH. within 1 year

Description:

Hip fractures are considered one of the major health problems in aging societies . These fractures are correlated with increased disability and mortality and a decreased quality of life . Early mobilization of patients with these fractures is essential to improve fracture healing, minimize immediate postsurgical morbidity, and reduce care costs. One essential prerequisite for early mobilization is mechanically stable fracture fixation . Nowadays, most hip fractures are treated by extramedullary or intramedullary implants, which allow a stable fixation in the majority of cases

A dynamic hip screw (DHS) is the most commonly used implant for intertrochanteric fractures . Load bearing in the proximal femur is predominantly through the intact calcar femoral; the lever arm of the laterally placed plate is increased, thus, there is a risk of implant cutout if the calcar is not intact .

Biomechanically, compared with a laterally fixed side plate, an intramedullary device decreases the bending force of the hip joint on the implant by 25-30%. This has advantages especially in elderly patients, in whom the primary treatment goal is immediate full weight-bearing mobilization.

It has been postulated that cephalomedullary nails have an advantage over DHS fixation because of the load-bearing axis being closer to the hip joint fulcrum, and also less blood loss, minimal tissue dissection, shorter operation time, and faster ambulation after surgery . However, other studies have reported that fixation with DHS is better . One of the major drawbacks discovered with the use of the gamma nail is a higher reoperation rate as a result of new fracture around the implant . In this study, we present our results for the treatment of trochentric fractures using a gamma nail in terms of the outcome, drawbacks, and possible complications.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 30
• Est. completion date: December 2020
• Est. primary completion date: June 1, 2020
• Gender: All
• Age group: 20 Years to 70 Years

Eligibility

Inclusion Criteria:

• Age (20-70)

• unstable trochentric fractures

Exclusion Criteria:

• pathological fractures due to neoplasia

Related Conditions & MeSH terms

• Fractures, Bone
• Hip Fractures
• Trochanteric Fractures

Intervention

Procedure:
• fixation of tochentric fractures by gamma nail
• Thirty patients with recent traumatic extracapsular proximal femoral fractures were treated using a short gamma nail of third-generation assembly

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Assiut University

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of participants with failure of initial intervention	case series prospective study for 30 patients who were admitted to AUH during 18-month period from December 2018 to May 2019	1 year