Health Condition 1: null- Hip Fractures Femoral Neck Fractures
Conditions
Interventions
Intervention1: Multiple cancellous screws fixation: Patients allocated to multiple cancellous screws fixation will receive multiple threaded screws (with a minimum of 2 screws, a minimum diameter of 6
Sponsors
McMaster University
Eligibility
Inclusion criteria
Inclusion criteria: Adult men or women aged 50 years and older (with no upper age limit). Fracture of the femoral neck confirmed with either anteroposterior and lateral hip radiographs, computed tomography, or magnetic resonance imaging (MRI). Any degree of displacement (i.e., undisplaced or displaced) of the femoral neck fracture that can be closed reduced. Operative treatment of displaced fractures within 2 days (i.e., 48 hours) of presenting to the emergency room. Operative treatment of undisplaced fractures within 7 days of presenting to the emergency room. Patient was ambulatory prior to fracture, though they may have used an aid such as a cane or a walker. Anticipated medical optimalization for operative fixation of the hip. Provision of informed consent by patient or legal guardian. Low energy fracture (defined as a fall from standing height). No other major trauma
Exclusion criteria
Exclusion criteria: Patients not suitable for internal fixation (i.e., severe osteoarthritis, rheumatoid arthritis, or pathologic fracture). Associated major injuries of the lower extremity (i.e., ipsilateral or contralateral fractures of the foot, ankle, tibia, fibula, knee, or femur; dislocations of the ankle, knee, or hip; or femoral head defects or fracture). Retained hardware around the affected hip. Infection around the hip (i.e., soft tissue or bone). Patients with disorders of bone metabolism except osteoporosis (i.e., Pagets disease, renal osteodystrophy, osteomalacia). Moderate or severe cognitively impaired patients (i.e., Six Item Screener with 3 or more errors). Patients with Parkinsons disease (or dementia) severe enough to increase the likelihood of falling or severe enough to compromise rehabilitation. Likely problems, in the judgment of the investigators, with maintaining follow-up. We will, for example, exclude patients with no fixed address, those who report a plan to move out of town in the next year, or intellectually challenged patients without adequate family support
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the impact of sliding hip screws versus cancellous screw fixation on rates of revision surgery at 2 years in individuals with femoral neck fracturesTimepoint: To assess the impact of sliding hip screws versus cancellous screw fixation on rates of revision surgery at 2 years in individuals with femoral neck fractures | — |
Secondary
| Measure | Time frame |
|---|---|
| To determine the impact on health-related quality of life,functional outcomes and health outcomeTimepoint: 2 years | — |
Countries
Australia, Canada, Netherlands, Norway, United States of America
Contacts
Public ContactDr Hrishikesh
iProcess- Scientist
Outcome results
None listed