Clinical Trials Logo

Clinical Trial Details — Status: Not yet recruiting

Administrative data

NCT number NCT06162637
Other study ID # Soh-Med-23-11-02MS
Secondary ID
Status Not yet recruiting
Phase N/A
First received
Last updated
Start date January 1, 2024
Est. completion date January 1, 2025

Study information

Verified date December 2023
Source Sohag University
Contact Islam M Ahmed, resident
Phone 01094375737
Email eslammohamed@med.sohag.edu.eg
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Fracture neck femur are common injuries, especially seen in the elderly in the emergency setting. It is also seen in young patients with high-energy trauma. Immediate diagnosis and management are required to prevent threatening joint complications. Fracture neck femur in young adults is unsolved problem. The preservation of the native hip anatomy and biomechanics is essential in active young adults. Because of the vulnerable blood supply to the femoral part of the hip joint following these fractures, there is a high risk of developing avascular necrosis (AVN) and non-union. Any sort of surgical fixation should aim at preservation the blood supply while securing enough mechanical stability until the fracture unites. Open reduction is indicated in fractures which cannot be anatomically reduced by gentle manipulation. This should be carried out without any delay since this potentially can reduce the incidence of AVN. Treatment of fracture neck femur still controversial. There are several methods for treatment of fracture neck femur as multipe cannulated cancellous screws, locking plate, dynamic hip screw (DHS) with anti-rotational screw, and arthroplasty. There is no internal fixation method superior to another. In this study, we will compare the clinical and radiographic results of femoral neck locking plate vs multiple cannulated cancellous screw in treating femoral neck fractures in young adults.


Recruitment information / eligibility

Status Not yet recruiting
Enrollment 20
Est. completion date January 1, 2025
Est. primary completion date December 1, 2024
Accepts healthy volunteers No
Gender All
Age group 20 Years to 55 Years
Eligibility Inclusion Criteria: - patients (20-55) years - having unilateral traumatic femoral neck fracture - idependent walker before trauma without any aids Exclusion Criteria: - open fracture - pathological fracture - preexisting deformity - other pelvic or ipsilateral femoral injuries - renal impairment or were on high dose steroids

Study Design


Related Conditions & MeSH terms


Intervention

Device:
femoral neck locking plate
femoral neck fractures fixation by femoral neck locking plate
multiple cannulated cancellous screws
femoral neck fractures fixation by multiple cannulated cancellous screws

Locations

Country Name City State
Egypt Sohag university Hospital Sohag

Sponsors (1)

Lead Sponsor Collaborator
Eslam Mohamed AHmed

Country where clinical trial is conducted

Egypt, 

References & Publications (4)

Crist BD, Eastman J, Lee MA, Ferguson TA, Finkemeier CG. Femoral Neck Fractures in Young Patients. Instr Course Lect. 2018 Feb 15;67:37-49. — View Citation

Haidukewych GJ, Rothwell WS, Jacofsky DJ, Torchia ME, Berry DJ. Operative treatment of femoral neck fractures in patients between the ages of fifteen and fifty years. J Bone Joint Surg Am. 2004 Aug;86(8):1711-6. doi: 10.2106/00004623-200408000-00015. — View Citation

Ly TV, Swiontkowski MF. Treatment of femoral neck fractures in young adults. J Bone Joint Surg Am. 2008 Oct;90(10):2254-66. No abstract available. — View Citation

Panula J, Pihlajamaki H, Mattila VM, Jaatinen P, Vahlberg T, Aarnio P, Kivela SL. Mortality and cause of death in hip fracture patients aged 65 or older: a population-based study. BMC Musculoskelet Disord. 2011 May 20;12:105. doi: 10.1186/1471-2474-12-105. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary improvement of pain on the Harris Hip Score (HHS) 6 months post operative the Harris Hip Score (HHS) is a scale used for evaluating patients following hip fractures. possible scores range for improvement of pain from 44 (no pain) to 0 (totally disabled cripped pain). 6 months
Primary Clinical evaluation of gait limping on the Harris Hip Score (HHS) 6 months post operative the Harris Hip Score (HHS) is a scale used for evaluating patients following hip fractures. possible scores for limping gait range from 11 (none) to 0 (unable to walk). 6 months
See also
  Status Clinical Trial Phase
Recruiting NCT05505604 - PENG vs FICB for Hip Fracture in ED Patients N/A
Recruiting NCT04462172 - A Prospective Multicenter Cohort Study About Internal Fixation Using FNS Versus MCS for Femoral Neck Fracture N/A
Enrolling by invitation NCT04110639 - Intraoperative Monitoring of Femoral Head Perfusion N/A
Terminated NCT01908751 - Fixation Using Alternative Implants for the Treatment of Hip Fractures (FAITH-2) Phase 3
Recruiting NCT01934049 - Postoperative Recovery in Elderly Patients Undergoing Hip Hemi-arthroplasty Phase 4
Recruiting NCT01219088 - Intrathecal Morphine,Femoral Nerve Block,Periarticular Bupivacaine Infiltration for Pain After Intramedullary Hip Screw Phase 4
Not yet recruiting NCT00749710 - Blood Loss and Complications of Internal Fixation of Femoral Neck Fractures in Patients Treated With Clopidogrel N/A
Active, not recruiting NCT00491673 - A Prospective Randomized Trial of Uncemented Versus Cemented Hemiarthroplasty for Displaced Femoral Neck Fractures N/A
Completed NCT00464230 - Hemiarthroplasty or Internal Fixation for Displaced Femoral Neck Fractures Phase 4
Recruiting NCT03966716 - Hips Screws or (Total) Hip Replacement for Undisplaced Femoral Neck Fractures in Elderly Patients (HipSTHeR) N/A
Recruiting NCT05227924 - Safety and Performance Assessment of the SYMBOL Range of Medical Devices in Patients Underlying Total Hip Arthroplasty
Completed NCT03666637 - Femoral Neck Fracture in Adult and Avascular Necrosis and Nonunion
Terminated NCT03721835 - Safety Study of Femoral Neck Fracture System N/A
Not yet recruiting NCT04408053 - Mini-invasive Preventive Fixation of the Contralateral Femoral Neck in Patients Operated on for a Femoral Neck Fracture Phase 3
Recruiting NCT04577261 - FNS (FEMORAL NECK SYSTEM) Study
Recruiting NCT04589598 - Femoral Neck System and Multiple Cannulated Screws in Femoral Neck Fracture N/A
Not yet recruiting NCT06078371 - Opioid-Free Pain Treatment in Trauma Patients N/A
Withdrawn NCT02198820 - Practice Survey on Femoral Neck Fractures and the Incidence of Type of Anesthesia on Patient Outcome N/A
Active, not recruiting NCT02246335 - Hemiarthroplasty Compared to Total Hip Arthroplasty for Displaced Femoral Neck Fractures in the Elderly-elderly N/A
Not yet recruiting NCT00926666 - A Dose Finding Study for Pain Relief of a Broken Hip Phase 4