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Completed

NCT Number: NCT07410338

Lateral Decubitus vs Traction in the Supine Position in Proximal Femoral Nailing. Is There a Huge Difference?

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.

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Key information

Conditions

Unstable Intertrochanteric Fracture Femoral Fractures Femoral Neck Fractures Fractures, Bone Hip Fractures Hip Injuries Leg Injuries Proximal Femoral Fractures Wounds and Injuries

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Ain Shams University Hospitals

Cairo, 11566, Egypt

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

lateral decubitus postion during proximal femoral nailing for unstable intertrochnateric femur fractures

Procedure

different positions of the patient during the surgery

Proximal femoral nailing for unstable intertrochnateric femur fractures in supine psoition using traction table

Procedure

different positions for the proximal femoral nailing

Primary outcomes

  1. Quality of radiographic reduction

    Time frame: 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 : -
    • Criterion one (alignment) :
    • Anterior posterior view : normal or slight valgus neck shaft angle
    • lateral view : less than 20 degree of angulation (Slight valgus means a valgus of no more 10 degrees)
    • Criterion two (displacement) :
    • Anterior posterior view: less than 4 mm of displacement of any fragment.
    • Lateral view: less than 4 mm of displacement of any fragment.
    • 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.

  2. Fluoroscopic exposure time

    Time frame: 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 outcomes

  1. Setup time

    Time frame: 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.

  2. Surgical time

    Time frame: Intraoperative

    The time between the skin incision and the closure of the wound.

Sponsors and collaborators

Lead sponsor

Ain Shams University

Other

Registry information

Official study title

Proximal Femoral Nailing in Unstable Intertrochanteric Fractures: Lateral Decubitus Position Versus Supine Position on Traction Table.

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Feb 13, 2026
Registry last updated
Feb 13, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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