Clinical Trial, Femur; Fracture, Pertrochanteric, Fragility Fracture
Conditions
Brief summary
This study is being conducted with the aim of comparing the time to bone healing after surgery for fragility fractures of proximal femur between patients receiving strontium ranelate and placebo. Patients recruited are of 60 years of age and above. Bone healing will be assessed on clinical parameters when patient is able to ambulate full weight bearing without pain and on Xray images using RUSH score. Moreover Dexa scan will be performed pre-operatively and at 3 months postoperatively. The findings of this study will help in setting up guidelines for treatment of fragility proximal femur fractures in our population as there is still paucity of literature on effectiveness of strontium ranelate from our part of the world.
Interventions
Dual mode of action, anabolic and anti-resorptive
Placebo look alike drug
Sponsors
Study design
Eligibility
Inclusion criteria
* All patients with age =/\> 60 years with proximal femur fracture including per-trochanteric, sub-trochanteric and neck of femur fractures amnebale to ORIF. * ORIF will include hip cannulated screws, dynamic hip screw and intra-medullary nails.
Exclusion criteria
* Patients with metabolic bone diseases. * Patients with pathological fractures like tumor, osteopetrosis etc. * Patients with prior Ischemic heart diseases and underwent PCI or CABG
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change in Radiological healing on radiographs | 12 weeks and 24 weeks | Difference in RUSH (Radiological Healing score for hip) score measured at 12 weeks and 24 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| change Bone mineral density through DEXA scan | pre-operatively or peri-admission and at 3 months | Difference in bone density T scores between pre-op and 3 months studies |
Countries
Pakistan