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Assessment of radiological healing in elderly hip fractures fixed with intramedullary versus extramedullary implants at 3 months

Assessment of radiological healing via radiological union score for hip (RUSH) score in elderly hip fractures fixed with intramedullary versus extramedullary implants at 3 months

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12623000103662
Enrollment
238
Registered
2023-01-30
Start date
2021-12-01
Completion date
2022-05-31
Last updated
2023-02-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The rationale of this study is to address the knowledge gap in management of hip fracture and compare the radiological healing (assessed via RUSH score) at 3 months in patients with hip fracture managed with plates and nails. Hypothesis: There is a difference in radiological healing of hip fractures at 3 months fixed with either intramedullary or extramedullary implants.

Interventions

Intramedullary implant. Implant which is inserted centrally into the bone by an orthopedic surgeon.Intramedullary implant used will be proximal femoral nail or gamma nail. Extramedullary implants used will be either dynamic hip screw, dynamic condylar screw, cannulated screws, or proximal femoral locking plate. The procedure time will be around 1 hour. Allocation will be up to the discretion of treating surgeon.

Sponsors

Health Department Khyber Pakhtunkhwa
Lead SponsorGovernment body

Study design

Allocation
Non-randomised trial
Primary purpose
Treatment

Eligibility

Sex/Gender
All
Age
50 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

50 to 80 years old patients of both genders having hip fracture (Transcervical, Intertrochanteric and Subtrochanteric)

Exclusion criteria

Refusal of informed consent. Unwilling/unable to comply with follow up. Patients with polytrauma. Patients taking steroids. Patients taking immunosuppressants/DMARDs. Patients with pathological fracture. Patients unfit for surgery (ASA III and above).

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026