None listed
Conditions
Brief summary
Intertrochanteric fractures are common nowadays. Though there are several methods described in the literature for this kind of fracture, the optimal one is still in controversy. Gamma was considered to be a good choice for intertrochanteric hip fractrues, but it still has many limitations such as cracking the lateral trochanter. The locking plate was used to treat some other fractures such as distal femoral fracture. In recent days, some specialists proposed that locking plate could be used for intertrochanteric fractures. Now some mechanical test has confirmed it in laboratory. This study attempts to determine whether locking plates can achieve an equal or better outcome compared with gamma nails for intertrochanteric hip fractures.
Interventions
Locking plate have recently been developed for the internal fixation of fractures, and are gaining widespread acceptance. This technique includes a plate and several screws. These screws can be locked in the plate. Locking plates have several advantages over traditional screw/plate constructs. There is improved angular stability because each screw acts as a small fixed-angled device. One can thus obtain better fixation in osteoporotic bone, and there is the opportunity to use unicortical, rathe
Locking plate have recently been developed for the internal fixation of fractures, and are gaining widespread acceptance. This technique includes a plate and several screws. These screws can be locked in the plate. Locking plates have several advantages over traditional screw/plate constructs. There is improved angular stability because each screw acts as a small fixed-angled device. One can thus obtain better fixation in osteoporotic bone, and there is the opportunity to use unicortical, rather than bicortical screws.The locking plate is widely used in clinical practice, but is rarely used for intertrochanteric fracture in this study. It is applied in the operation for just once. The whole process would be completed during the operation, taking about 1 hour.
Sponsors
Zhao Gangsheng
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used)
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
1. primary intertrochanteric hip fracture only 2. BMI<30 3. no other disease that would affect the outcome of fractrue healing 4. no other previous surgical treatments
Exclusion criteria
1. BMI > 30 2. the patients that received previous other surgical treatment 3. the health condition is not stable 4. with other diaease that would affect bone healing, such as cancer, kidney disease needs corticosteroids
Outcome results
None listed