Results of Gamma Nail in Trochentric Fractures of the Adults

Sponsor

Assiut University (Other)

Overall Status

Unknown status

CT.gov ID

NCT03531983

Collaborator

(none)

Enrollment

Anticipated Duration (Months)

Study Details

Study Description

Brief Summary

We prospectively reviewed the results of 30 patients who had undergone intramedullary fixation with a gamma nail for femur trochentric fractures in AUH. within 1 year

Condition or Disease	Intervention/Treatment	Phase
Trochanteric Fractures	Procedure: fixation of tochentric fractures by gamma nail

Detailed Description

Hip fractures are considered one of the major health problems in aging societies . These fractures are correlated with increased disability and mortality and a decreased quality of life . Early mobilization of patients with these fractures is essential to improve fracture healing, minimize immediate postsurgical morbidity, and reduce care costs. One essential prerequisite for early mobilization is mechanically stable fracture fixation . Nowadays, most hip fractures are treated by extramedullary or intramedullary implants, which allow a stable fixation in the majority of cases

A dynamic hip screw (DHS) is the most commonly used implant for intertrochanteric fractures . Load bearing in the proximal femur is predominantly through the intact calcar femoral; the lever arm of the laterally placed plate is increased, thus, there is a risk of implant cutout if the calcar is not intact .

Biomechanically, compared with a laterally fixed side plate, an intramedullary device decreases the bending force of the hip joint on the implant by 25-30%. This has advantages especially in elderly patients, in whom the primary treatment goal is immediate full weight-bearing mobilization.

It has been postulated that cephalomedullary nails have an advantage over DHS fixation because of the load-bearing axis being closer to the hip joint fulcrum, and also less blood loss, minimal tissue dissection, shorter operation time, and faster ambulation after surgery . However, other studies have reported that fixation with DHS is better . One of the major drawbacks discovered with the use of the gamma nail is a higher reoperation rate as a result of new fracture around the implant . In this study, we present our results for the treatment of trochentric fractures using a gamma nail in terms of the outcome, drawbacks, and possible complications.

Study Design

Study Type:

Observational

Anticipated Enrollment :

30 participants

Observational Model:

Case-Only

Time Perspective:

Prospective

Official Title:

Results of Gamma Nail in Trochentric Fractures of the Adults

Anticipated Study Start Date :

Jun 1, 2019

Anticipated Primary Completion Date :

Jun 1, 2020

Anticipated Study Completion Date :

Dec 1, 2020

Outcome Measures

Primary Outcome Measures

Number of participants with failure of initial intervention [1 year]
case series prospective study for 30 patients who were admitted to AUH during 18-month period from December 2018 to May 2019

Eligibility Criteria

Criteria

Ages Eligible for Study:

20 Years to 70 Years

Sexes Eligible for Study:

All

Inclusion Criteria:

Age (20-70)
unstable trochentric fractures

Exclusion Criteria:

pathological fractures due to neoplasia

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

Assiut University

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Ahmed Gamal Helmy, Assistant Lecturer, Assiut University

ClinicalTrials.gov Identifier:

NCT03531983

Other Study ID Numbers:

G.nail in trochentric frs

First Posted:

May 22, 2018

Last Update Posted:

Jan 24, 2019

Last Verified:

Jan 1, 2019

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Keywords provided by Ahmed Gamal Helmy, Assistant Lecturer, Assiut University

gamma nail

Additional relevant MeSH terms:

Fractures, Bone

Hip Fractures

Study Results

No Results Posted as of Jan 24, 2019