Radiological and Functional Outcomes of Internal Fixation Methods for Ipsilateral Femoral Neck and Shaft Fractures in Young Adult Patients

N/ANot Yet RecruitingNCT06826521

Assiut University24 enrolled

Overview

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?

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?

Study Type

OBSERVATIONAL

Enrollment

Conditions

Ipsilateral Neck and Shaft Fractures and Internal Fixation Method and Follow Up At One Year Postoperative for Radiological and Functional Outcomes

Interventions

Single construct versus dual constructs will give satisfactory radiological and functional outcomesPROCEDURE

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.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 55 Years

Medical Language ↔ Plain English

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.

Locations (1)

Assiut university

Asyut, Egypt

Outcomes

Primary Outcomes

Radiological union evaluation

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

Time frame: Assessment of radiological union and the time will be taken at one year follow up

Secondary Outcomes

Functional outcome

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.

Time frame: One year follow up

Complications

Complications will be reported if occured like non- union, infection and avascular necrosis of the neck.

Time frame: One year follow up

Central Contacts

Abanoub Ibrahim Khalifa yakoup, Resident doctor

CONTACT

+201272105193 abanoubibrahim233@gmail.com

Mahmoud Youssef Badran, Assistant Professor

CONTACT

+201000341878 m_badran80@yahoo.com

Data from ClinicalTrials.gov

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