hipfracture trochanteric fracture
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Unilateral trochanteric fracture AO type 31 A1, A2 of A3. - Age * 70 years. - Fracture suitable for fixation with PFNa.
Exclusion criteria
Exclusion criteria: - Other fractures restricting rehabilitation. - High energy fracture of the hip. - Malignant fractures. - Previous fractures of the ipsi- or contralateral hip or femur. - Non operative treated hip fractures. - Injury Severity Score > 15. - Patients incapable of physical therapy for rehabilitation by dementia - Patients incapable of physical therapy for rehabilitation by physical restrictions.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main endpoint of the study is the function and strength of the hip 12 months after surgery measured with the HHS. | — |
Secondary
| Measure | Time frame |
|---|---|
| * Pain measured with a visual analogue scale on day 2 and at 6 weeks, 3 and 12 months after surgery. * Migration of the lesser trochanter fragment on X-ray examinations in patients with trochanteric fractures with lesser trochanter involvement before surgery and at 6 weeks, 3 and 12 months after surgery. * Quality of life measured with a quality of life questionnaire (EQ-5D) before surgery and at 6 weeks, 3 and 12 months after surgery. * Duration of hospital stay (days). * Duration of rehabilitation centre stay (days). * Mental status measured with 6CIT-score before surgery and at 6 weeks and 12 months after surgery. * Patient reported general mobility measured with the Katz before surgery and at 6 weeks, 3 and 12 months after surgery. * The incidence and type of surgical related complications: deep and superficial wound infection, postoperative bleeding, 60-day and 1-year re-operation rate, and implant related failures (implant failure, implant dislocation, periprosthetic fracture). * The incidence and type of non-surgical related complications: hospital, 60-day and 1-year mortality delirium, pneumonia, cardiac complications, urinary tract infections, urinary retention, deep venous thrombosis, pulmonary embolism, pressure sores, and rate of underfeeding on admission (Mini Nutritional Assessment MNA). | — |
Countries
Netherlands