OSTEOPOROTIC FEMORAL FRACTURE
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Patients with acute traumatic trochanteric or supracondylar femoral fractures and fragility fractures (i.e. sustained from standing height or less and radiological features of osteoporosis). - Patients who are aged 55 or older. Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 0 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 0
Exclusion criteria
Exclusion criteria: - Patients with open fractures, pathological fractures, ‘floating knee’, associated patellar fractures or simultaneous bilateral fractures - Patients with a known metabolic bone disease, rheumatoid arthritis or chronic renal failure - Patients with dementia - Patients with bone metastases or other malignant bone disease - Patients taking steroids, strontium, biphosphonates or PTH -Patients with oesophageal abnormalities, swallowing problems, hypocalcaemia, hypercalcemia. - Women of child-bearing age (<55years), pregnant or breast feeding.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To produce preliminary evidence testing the hypothesis that it is possible to accelerate the healing of trochanteric and distal femoral fractures with the administration of therapeutic agents (Parathyroid Hormone, Biphosphonate, Vitamin D and Calcium) and thus reduce pain and functional impairment at 3 and 6months.;Primary end point(s): Pain and functional assessment as indicated by the Johanson Hip Rating Questionnaire(HRQ). We would expect to see a difference of between seven and ten points in the overall HRQ score from baseline assessment to 6 months post-operatively. However due to the pilot character of this trial is expected mostly to produce preliminary evidence testing the hypothesis that it is possible to accelerate the healing of trochanteric and distal femoral fractures with the administration of therapeutic agents and thus reduce pain and functional impairment at 3 and 6 months.;Secondary Objective: - To compare the radiological healing rates at 3 and 6months post-operatively. - To compare the complication rates post-operatively. - To evaluate the feasibility of performing the protocol procedures in preparation for a pivotal study on the same subject. | — |
Countries
United Kingdom