Hip Fracture Clinical Trial
Official title:
Prospective Randomized Controlled Trial of the Efficacy of Low-Magnitude, High-Frequency Vibration Treatment on Osteoporotic Hip Fracture Healing
Osteoporotic hip fracture is common in elderly. As a result of aging population in Hong
Kong, the total number of hip fracture cases is anticipated to increase substantially in the
future, and therefore draw more resources in hospitals and healthcare cost. Osteoporotic hip
fracture usually causes severe pain and takes long time (4-8months) to recover due to
impaired healing capability in osteoporotic bones and limited mobility. Consequently, the
patients will recover very slowly as a result of low physical activities to provide
inadequate mechanical stimulation. It is also known that mechanical, vascular and biological
factors are the keys for fracture healing.
Low-magnitude, high-frequency vibration (LMHFV) treatment is a biophysical intervention to
provide whole-body vibration signals for mechanical stimulation, which has been proven to be
good in enhancing bone and muscle performance, as well as blood circulation. Our previous
study of LMHFV on femoral fracture in rats showed acceleration of fracture healing, resulted
from enhanced callus formation and maturation. Application of LMHFV on osteoporotic
fractures could shorten the period of complete callus bridging by 30%. Our clinical trial on
normal elderly also demonstrated improved muscle performance with good compliance, which is
also a critical factor for fracture healing.
In this study, the investigators therefore hypothesize that LMHFV can enhance hip fracture
healing by enhancing fracture impaction, maintaining bone mineral density, enhancing muscle
recovery, thus improving implant mechanical stability and rehabilitation in elderly
patients. The hip fracture elderly patient will be recruited and randomized into control or
treatment group. They will be assessed on the fracture healing at fixed time point. The
findings of this study will provide very useful scientific data to support the application
of LMHFV for hip fracture patients.The ultimate goal is to enhance the fracture healing and
rehabilitation in elderly patients.
n/a
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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