To Fix or Not to Fix? Evaluating Lesser Trochanter Fixation in Unstable Intertrochanteric Fractures: A Randomized Controlled Trial

The effects of cerclage wire augmentation in intertrochanteric femoral fracture with lesser trochanter displacement in the elderly

Status

Active, not recruiting

Phases

Phase 3

Study type

Interventional

Source

TCTR

Registry ID

TCTR20250217007

Enrollment

Registered

2025-02-17

Start date

2023-03-14

Completion date

Unknown

Last updated

2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Patients who had diagnosed with unstable intertrochanteric fractures involving the lesser trochanter Intertrochanteric Fracture, Lesser Trochanter, Fracture Fixation, Cerclage Wire, Proximal Femoral Nail, Hip Flexor Strength, etc

Interventions

PFNA without cerclage wire group is classified that intertrochanteric fixation by proximal femur nail antirotation without lesser trochanter fixation in unstable intertrochanteric fractures involvin

Active Comparator Procedure/Surgery,Experimental Procedure/Surgery

PFNA without cerclage wire (Group A),PFNA with cerclage wire (Group B)

Eligibility

Sex/Gender

All

Age

60 Years to 100 Years

Inclusion criteria

Inclusion criteria: 1. Age 60 years or older with good cognitive function and communication ability 2. Unstable intertrochanteric fracture with LT displacement classified as AO/OTA 31A2.2, 31A2.3, or 31A3.3, and those with LT displacement between 5 and 10 mm after closed reduction 3. Sufficient fragment size for cerclage wire application 4. Available for at least 12 months of follow-up.

Exclusion criteria

Exclusion criteria: 1. Previous ipsilateral hip or femoral surgery 2. Non-osteoporotic pathological fractures 3. Multiple fractures 4. Pre-existing bedridden status or walking disability 5. Severe perioperative risk classified as American Society of Anesthesiologists (ASA) score IV or V, 6. Refusal to participate.

Design outcomes

Primary

Measure	Time frame
maximal isometric hip flexor strength and hip flexor strength deficit 1.5, 3, 6, and 12 months handheld dynamometer	—

Secondary

Measure	Time frame
Barthel Index (BI), Harris Hip Score (HHS), Radiographic Union Score for Hip (RUSH), operative time, blood loss, hospital stay, tip-apex distance (TAD), neck shaft angle (NSA) and complications immediately post-operation, 1.5, 3, 6, and 12 months Points, miniutes, milliliters, days, millimeters, degrees	—

Countries

Thailand

Contacts

Public ContactPinkawas Kongmalai

Faculty of Medicine, Srinakharinwirot University

pinkawass@hotmail.com0815703867

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026