Topic: Musculoskeletal
Conditions
Interventions
All participants will have a closed reduction of their fracture. The lower limb will be supported on a fracture table. Internal fixation of the fracture will be achieved through a standard lateral app
Sponsors
University of Warwick (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. All patients who present with intracapsular fractures of the proximal femur 2. Male and female, lower age limit of 65 years 3. With or without capacity to consent
Exclusion criteria
Exclusion criteria: 1. All patients who present late following their injury i.e. more than 48 hours after the index fracture 2. Patients with other serious injuries to either lower limb that would interfere with rehabilitation of the index fracture 3. Patients who are managed non-operatively 4. Patients younger than 65 years
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The proportion of participants undergoing re-operation for failure of fixation within one year of sustaining the fracture. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Radiographic non-union rate at 12 months. Non-union will be defined as "failure of the fracture to show signs of bony union on the anteroposterior or lateral radiograph 1 year after surgery". 2. Radiographic evidence of failure of fixation at 6, 12 and 52 weeks 3. Radiographic evidence of avascular necrosis at one year 4. Magnetic resonance imaging at 6, 12 and 52 weeks. This measure will only be recorded for those participants with capacity to consent. 5. The EQ-5D score at 6, 12 and 52 weeks 6. Length of index hospital stay | — |
Countries
United Kingdom
Outcome results
None listed