Femur Fracture
Conditions
Keywords
pertrochanteric femur fracture, DHS, IMN
Brief summary
Hypothesis: Inflatable intra medullary femoral nailing is superior to DHS in terms of blood loss, operative complications and postoperative rehabilitation in the management of pertrochanteric femur neck fractures.
Detailed description
patients with pertrochanteric fractures of the femur will be randomly assigned to one of 2 groups. group 1 will undergo internal fixation using a DHS device. group 2 will undergo internal fixation using an inflatable intramedullary femoral nail device post operative care will be the same including DVT prophylaxis, early mobilization. weight baring will be aloud in cases of a stable fracture (EVANS 1-3) non weight bearing until callus bridge in patients with unstable fractures (EVANS 4-6) outcomes: death within first year postoperative complications length of hospitalization time to mobilization functional score reontgenic evaluation
Interventions
PROCEDUREinternal fixation (DHS - richard nail)
internal fixation
PROCEDUREinternal fixation (inflatable PFN by DISCOTEC)
internal fixation
Sponsors
Tel-Aviv Sourasky Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Pertrochanteric femur fracture * Unilateral * Age over 60 years * Low energy trauma * ASA score 0-3
Exclusion criteria
* Reverse oblique fractures * Pathological fractures * Severe osteoarthritis of the hip joint * Previous operations on same leg * ASA score 4-5
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| death within 1 year of operation | 4 years |
Countries
Israel
Contacts
Primary ContactEli Steinberg, MD
Outcome results
None listed