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Femoral Neck Locking Plate Vs Multiple Cannulated Cancellous Screws in Treatment of Femoral Neck Fractures in Young Adults: Randomized Controlled Clinical Trial Study

NCT ID: NCT06162637

Last Updated: 2023-12-19

Study Results

Results pending

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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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-01-01

Study Completion Date

2025-01-01

Brief Summary

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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.

Detailed Description

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Conditions

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Femoral Neck Fractures

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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A

grup A with femoral neck fracture will be fixed by femoral neck locking plate

Group Type OTHER

femoral neck locking plate

Intervention Type DEVICE

femoral neck fractures fixation by femoral neck locking plate

B

grup B with femoral neck fracture will be fixed by Multiple cannulated cancellous screws

Group Type OTHER

multiple cannulated cancellous screws

Intervention Type DEVICE

femoral neck fractures fixation by multiple cannulated cancellous screws

Interventions

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femoral neck locking plate

femoral neck fractures fixation by femoral neck locking plate

Intervention Type DEVICE

multiple cannulated cancellous screws

femoral neck fractures fixation by multiple cannulated cancellous screws

Intervention Type DEVICE

Eligibility Criteria

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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
Minimum Eligible Age

20 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eslam Mohamed AHmed

OTHER

Sponsor Role lead

Responsible Party

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Eslam Mohamed AHmed

Resident of Orthopaedic department, Sohag University Hospitals

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Sohag university Hospital

Sohag, , Egypt

Site Status

Countries

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Egypt

Central Contacts

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Islam M Ahmed, resident

Role: CONTACT

Phone: 01094375737

Email: [email protected]

Abdelrahman H Khalifa, professor

Role: CONTACT

Phone: 01003701283

Facility Contacts

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Magdy M Amin, professor

Role: primary

References

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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.

Reference Type BACKGROUND
PMID: 21599967 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 31411399 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 18829925 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 15292419 (View on PubMed)

Othman YA, Khalefa AH, Ahmed IM, Ahmed KFE. Femoral neck locking plate versus multiple cannulated screws for femoral neck fractures in young adults: a randomized controlled trial. BMC Musculoskelet Disord. 2025 Aug 18;26(1):799. doi: 10.1186/s12891-025-09019-7.

Reference Type DERIVED
PMID: 40826062 (View on PubMed)

Other Identifiers

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Soh-Med-23-11-02MS

Identifier Type: -

Identifier Source: org_study_id