Ipsilateral Neck and Shaft Fractures and Internal Fixation Method and Follow Up At One Year Postoperative for Radiological and Functional Outcomes
Conditions
Keywords
Radiological and functional outcomes of internal fixation methods for ipsilateral femoral neck and shaft fractures in young adult patients
Brief summary
Does the single construct produce more favourable radiological and functional outcomes with less complication when it is compared to dual constructs for fixation of ipsilateral femoral neck and shaft fractures in young adult patients at one year follow up?
Detailed description
The investigators will do follow up for internal fixation methods for ipsilateral femoral neck and shaft fractures in young adult patients at one year and observe does single construct will give favourable outcomes versus dual constructs?
Interventions
PROCEDURESingle construct versus dual constructs will give satisfactory radiological and functional outcomes
Single construct like cephalomedullary nail or long DHS in fixation of both neck and shaft fractures, dual constructs like DHS or cannulated screws and retrograde nail or DHS or cannulated screws and dymanic compression plate in fixation of both fractures.
Sponsors
Assiut University
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
* Age of the patients from 18 to 55 years * Recent fracture within one week * Ipsilateral Neck and shaft femur fractures according to AO Classification including 31 B (all types of neck ) and 32 A,B and C ( all types of shaft femur )
Exclusion criteria
* Open fractures GIII * patients more than 55 and less than 18 years old * Patient with comorbidities: uncontrolled D.M, renal patient, neurological deficits.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Radiological union evaluation | Assessment of radiological union and the time will be taken at one year follow up | Radiographic union evaluation of ipsilateral neck and shaft femur fractures after internal fixation methods at one year follow up in young adult patients using : Radiographic union score of the hip for neck fracture Radiographic union score for the femur fracture. Minimum score for these scales is 10 and maximum is 30 High score means good outcome |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional outcome | One year follow up | Functional outcome will be assessed after internal fixation methods for ipsilateral femoral neck and shaft fractures in young adult patients using friedman and wyman scale to assess whether patients have pain , Impaired daily life activities and loss of hip and knee range of motion . this scale is categorised by good, fair and poor outcome Good which have no pain no impaired daily life activities and less than 20 % loss of hip and knee range of motion Fair mild impaired daily life activities, mild to moderate pain and 20\_50% loss of hip and knee range of motion Poor moderate impaired daily life activities, severe pain and more than 50% loss of hip and knee range of motion. |
| Complications | One year follow up | Complications will be reported if occured like non- union, infection and avascular necrosis of the neck. |
Countries
Egypt
Contacts
Primary ContactAbanoub Ibrahim Khalifa yakoup, Resident doctor
Backup ContactMahmoud Youssef Badran, Assistant Professor
Outcome results
None listed