Vertical Femoral Neck Fractures in Young Adult Patients
NCT ID: NCT04687592
Last Updated: 2020-12-29
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
30 participants
OBSERVATIONAL
2021-06-30
2023-09-30
Brief Summary
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Detailed Description
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* The most descriptive classification used for femoral neck fractures in young patients is the Pauwels classification. As the degree of the femoral neck fracture line relative to the horizontal plane increases, the types differ (30 degrees type I, between 30 degrees and 50 degrees type II, 50 degrees type III), and the instability of the fracture.
* Greater fracture verticality contributes to greater difficulty in obtaining adequate stability to resist vertical shear forces around the hip, thereby resulting in ascending greater risk of complications such as nonunion and osteonecrosis despite a number of potential fixation strategies.
* The primary goals of surgery include preservation of the femoral head, avoidance of osteonecrosis, and achievement of a stable union.
* Fixation options include cannulated screws, sliding hip screw with or without an additional derotation screw,. among orthopedic trauma surgeons there is no consensus that a single fixation Option is superior for treating these injuries.
Conditions
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Study Design
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CASE_ONLY
PROSPECTIVE
Interventions
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reduction and fixation
* Reduction: one trial of closed reduction under anaesthesia and image control. Open reduction will be done by anterolateral or lateral approach if closed reduction failed
* Fixation: internal fixation of the fracture by appropriate implant according to the fracture state
Eligibility Criteria
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Inclusion Criteria
* Pauwel type III fractures
* Recent fracture within one week
Exclusion Criteria
* Pathological or osteoporotic fractures.
* Patient with comorbidities: D.M, renal patient, neurological deficits.
* Patient associated with femoral head fractures or head impaction.
20 Years
50 Years
ALL
No
Sponsors
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Assiut University
OTHER
Responsible Party
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Thomas Magdi Labieb
resident at orthopedic department
Central Contacts
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References
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Macaulay W, Yoon RS, Parsley B, Nellans KW, Teeny SM; DFACTO Consortium. Displaced femoral neck fractures: is there a standard of care? Orthopedics. 2007 Sep;30(9):748-9. doi: 10.3928/01477447-20070901-08.
Bartonicek J. Pauwels' classification of femoral neck fractures: correct interpretation of the original. J Orthop Trauma. 2001 Jun-Jul;15(5):358-60. doi: 10.1097/00005131-200106000-00009.
Ye Y, Hao J, Mauffrey C, Hammerberg EM, Stahel PF, Hak DJ. Optimizing Stability in Femoral Neck Fracture Fixation. Orthopedics. 2015 Oct;38(10):625-30. doi: 10.3928/01477447-20151002-05.
Collinge CA, Mir H, Reddix R. Fracture morphology of high shear angle "vertical" femoral neck fractures in young adult patients. J Orthop Trauma. 2014 May;28(5):270-5. doi: 10.1097/BOT.0000000000000014.
Luttrell K, Beltran M, Collinge CA. Preoperative decision making in the treatment of high-angle "vertical" femoral neck fractures in young adult patients. An expert opinion survey of the Orthopaedic Trauma Association's (OTA) membership. J Orthop Trauma. 2014 Sep;28(9):e221-5. doi: 10.1097/BOT.0000000000000080.
Other Identifiers
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Femoral Neck Fractures
Identifier Type: -
Identifier Source: org_study_id