Femoral Neck Fracture
Conditions
Brief summary
The femoral neck fracture is the most prevalent injuries which commonly encountered among older people with high mortality, morbidity and young fit healthy ones who subjected to high-energy trauma . Non-union or avascular necrosis of femoral neck fracture which lead to loss of labor capacity and death, is the most commonly occurred complication and results in considerable burden for family. The treatment is difficult and challenging, and to minimize the negative results such as limited mobilization or other complications, it is essential to take active prevention and appropriate treatment depending on fracture pattern and patients' characteristics as early as possible. However, current implant selections for femoral neck fractures remain a topic of greater interest and controversy, and vary substantially from each other .
Detailed description
The incidence of femoral neck fracture accounts for 3.6% of all fractures, is the most prevalent injuries which commonly encountered among older people with high mortality, morbidity and young fit healthy ones who subjected to high-energy trauma . Non-union or avascular necrosis of femoral neck fracture which lead to loss of labor capacity and death, is the most commonly occurred complication and results in considerable burden for family. The treatment is difficult and challenging, and to minimize the negative results such as limited mobilization or other complications, it is essential to take active prevention and appropriate treatment depending on fracture pattern and patients' characteristics as early as possible. However, current implant selections for femoral neck fractures remain a topic of greater interest and controversy, and vary substantially from each other depending on the extent of displacement, fracture configuration, physiological age of the patient, bone quality or other relative factors. Nonoperative management is considered only when patients are seriously ill or presented with excessive surgical risk.
Interventions
PROCEDUREfixation
treated with different fixation method
Sponsors
Hebei Medical University Third Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* closed femoral neck fracture * no fractures at other sites * surgical treatment with cannulated compression screws or PFNA * follow-up time greater than 1 years.
Exclusion criteria
* the absence of severe cognitive dysfunction, * the presence of a pathological femoral neck fracture * previous femoral neck fracture, treated with other internal fixations and surgical treatment with open reduction.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| outcome measure were evaluated by femoral neck shortening with X rays | up to 12 months | femoral neck shortening after 1 year with radiology measure, |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| nonunion | up to 12 months | the number of nonunion at the end of follow up in patients |
| screw-exit | up to 12 months | screw-exit afer 1 year with X rays in all patients |
| cut-out | up t 12 months | cut-out of the screw evaluating with x rays in all patients |
Other
| Measure | Time frame | Description |
|---|---|---|
| operative time in every patient | intraoperation | outcome measure were evaluated by operative time |
| fluoroscopy time intraoperatively | intraoperation | outcome measure were evaluated by operative time and fluroscopy time |
Countries
China
Contacts
Primary ContactZhang Yingze
Backup ContactHou Zhiyong
Outcome results
None listed