Interthcohanteric hip fractures in the elderly Injury, Occupational Diseases, Poisoning Fracture of neck of femur
Conditions
Interventions
Patients will be randomised via a computerised generation system managed by the Orthopaedic Department of Patras University Hospital allocating patients to two study groups of equal weights using rand
Sponsors
General University Hospital of Patras
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Traumatic closed intertrochanteric femur fracture (A2 AO/OTA) 2. Patients aged over 70 years 3. Presentation to hospital within 7 days of injury 4. No concomitant injuries or prior operations to the unaffected hip
Exclusion criteria
Exclusion criteria: 1. Patients with concomitant injuries affecting treatment and rehabilitation of the affected limb 2. Patients with associated neurovascular injuries requiring immediate surgery 3. Patients with limited Greek proficiency including family members 4. Patients where consent is refused 5. Patients with severe dementia, non-ambulated and with severe associated diseases prohibiting operative intevention
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Radiological measurements (cut-out, varus displacement, loss of reduction, malunion, nonunion) at the 24 weeks follow-up evaluation 2. Functional status assessed using patient-reported disease-specific scores (Harris Hip score HHS and Oxford hip score-OHS) at 6, 12 and 24 weeks follow up | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Perioperative and intraoperative surgical data (delay for surgery, age-adjusted Carlson Comorbidity Index, operation time, fluoroscopy time and dosage, blood loss, length of hospital stay, prescription of pain-killers, osteoporosis assessment using postoperative DEXA of the unaffected hip, union time and intraoperative surgeon related complications, including lag screw malposition, propagation of the fracture, non-anatomical reduction, varus/valgus deformity, rotational deformity and tip-apex distance (TAD) using postoperative CT of the pelvis). All measurements are done during hospital stay except for union time which usually happens at 8-10 weeks post-surgery 2. Pain level measured using the visual analogue scale (VAS) Pain Score in the perioperative period and at 6, 12 and 24 weeks postoperatively 3. Patient-reported general health status measured using the SF-36 form, the EQ-5D-3L Questionnaire, the SARC-F Index and the Elderly Mobility Scale (EMS) prior to surgery and at 6-, 12- and 24-weeks post-surgery | — |
Countries
Greece
Outcome results
None listed