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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NOT_YET_RECRUITING
NA
42 participants
INTERVENTIONAL
2024-03-31
2026-03-31
Brief Summary
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Detailed Description
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Fracture neck of femur can be classified into transphyseal , transcervical (which is commonest), basal and pertrochanteric.
Complications include avascular necrosis, delayed union and non-union. Multiple fracture fixation methods have been used, with the overall goal being anatomic reduction with stable fixation.
Methods of fixation vary based on age, Delbet classification and dispalcement of the fracture.
Two types of fixation of pediatric fracture NOF of interest are cannulated screw (CS) and the Wagner technique.
Most studies agree that 3 screws are enough, and they should be inserted parallel in triangular arrangement with an inverted triangle. The CS should apply compression to the fracture (compression screws) to minimize the remaining fracture gap and accelerate the healing process. The use of washers allows for higher compression forces and thus increases the initial stabilization. CS shouldn't pass the physis in pediatrics to allow normal continuation of growth in children. The stability of fixation by CS has been shown to be affected by several factors: screw type, number, thickness, position and direction. Some of CS disadvantages are that they are mechanically unstable, failure of stabilization leads to varus malunion and it may lead to slipped capital femora epiphysis (SCFE) above the tips of the screws(especially short working distance in transcervical fractures).
The Wagner technique consists of the use of two or three k-wires bent as close as possible to the shaft and fixed to the shaft by two cerclage wires. Some advantages of this method are that k-wires can cross the physis and give good stability to the fracture with normal continuation of growth(especially in transphyseal \& transcerviacal fractures). Hip spica is recommended to give more stabilization to the fixation and neutralize forces around the fixed fracture.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
TRIPLE
Study Groups
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Patients with fracture neck of femur fixed by cannulated screws
Fix the fracture by two to three cannulatef screws
Cannulated screws vs wagner's technique
Fixation of fracture neck of femur by cannulated screws or wagner's technique
Patient with fracture neck of femur fixed by wagner's technique
Fix the fracture by three to four k-wires
Cannulated screws vs wagner's technique
Fixation of fracture neck of femur by cannulated screws or wagner's technique
Interventions
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Cannulated screws vs wagner's technique
Fixation of fracture neck of femur by cannulated screws or wagner's technique
Eligibility Criteria
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Inclusion Criteria
* children with age less than 14 years old
Exclusion Criteria
* patients with cerebral palsy
* Associated ipsilateral femoral shaft fracture
* comminuted fractures
* old fracture ( \> 2 weeks)
1 Year
14 Years
ALL
No
Sponsors
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Assiut University
OTHER
Responsible Party
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Mina Maged
Resident in assiut university hospital , orthopaedic department
Locations
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Assiut university
Asyut, , Egypt
Countries
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Central Contacts
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Facility Contacts
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Mina Maged
Role: primary
Other Identifiers
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Children NOF fracture fixation
Identifier Type: -
Identifier Source: org_study_id
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