Unstable Intertrochanteric Fracture
Conditions
Keywords
Unstable intertrochanteric fracture, Proximal femoral nail, proximal femoral fractures, traction table, lateral decubitus
Brief summary
This study is designed to compare two positions in the management of unstable intertrochanteric femur fractures. It's to compare the traditional supine position using a traction table and lateral decubitus. This study is designed to Compare between The accuracy of reduction In both methods, in addition,the radiological exposure and other secondary outcomes, like the blood loss, are compared.
Detailed description
To compare the fluoroscopic exposure time, quality of radiographic reduction, intra operative blood loss, setup time and surgical time between the lateral decubitus position and the use of a traction table in supine position in fixation of unstable intertrochanteric femur fractures by proximal femoral nail.
Interventions
PROCEDURElateral decubitus postion during proximal femoral nailing for unstable intertrochnateric femur fractures
different positions of the patient during the surgery
PROCEDUREProximal femoral nailing for unstable intertrochnateric femur fractures in supine psoition using traction table
different positions for the proximal femoral nailing
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Skeletally mature patients * Unstable intertrochanteric fracture ( AO/OTA type 31A2 \& 31A3 )
Exclusion criteria
* Patients unfit for surgery * Revision cases * Patients with multiple or pathological, neglected or open fractures.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of radiographic reduction | immediate postoperative | Optimum Tip-to-apex distance (TAD) is 25mm or less. * Normal femoral neck shaft angle between 125 and 145 degree. * The Baumgartner reduction quality criteria : - 1. Criterion one (alignment) : 1. Anterior posterior view : normal or slight valgus neck shaft angle 2. lateral view : less than 20 degree of angulation (Slight valgus means a valgus of no more 10 degrees) 2. Criterion two (displacement) : 1. Anterior posterior view: less than 4 mm of displacement of any fragment. 2. Lateral view: less than 4 mm of displacement of any fragment. 3. The reduction will be categorized as good if both criteria were met, acceptable if only one criterion was met, and poor if Neither criterion was met. |
| Fluoroscopic exposure time | intraoperative | The fluoroscopic exposure time is defined as: The total duration of fluoroscopy use in minutes during the set up and the surgical procedure. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Setup time | Intraoperative | The period between the moment of transfer of the patient from the anesthesia team to the surgical team till the time of incision. This period includes placement of the patient on the surgical table or the traction table, preparation, and draping. The reduction and use of fluoroscopy during the reduction will be included within this time frame. |
| Surgical time | Intraoperative | The time between the skin incision and the closure of the wound. |
Countries
Egypt
Contacts
STUDY_DIRECTORAmr Ahmed Abd Elrahman Hasan, Professor of Orthopedics
Department of Orthoepdics - Faculty of Medicine - Ain Shams University
Outcome results
None listed