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NCT Number: NCT06826521

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

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?

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Key information

Age range

18 year–55 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Assiut university

Asyut, Egypt

About this study

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?

Who can participate

Healthy volunteers accepted: No

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

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.

Treatment and study plan

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

Procedure

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.

Primary outcomes

  1. Radiological union evaluation

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

    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

Secondary outcomes

  1. Functional outcome

    Time frame: One year follow up

    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.

  2. Complications

    Time frame: One year follow up

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

Study contacts

Contact information is provided by the study sponsor or research team.

Abanoub Ibrahim Khalifa yakoup, Resident doctor

CONTACT

[email protected]

+201272105193

Mahmoud Youssef Badran, Assistant Professor

CONTACT

[email protected]

+201000341878

Sponsors and collaborators

Lead sponsor

Assiut University

Other

Registry information

Important dates

Study start
2025
Primary completion
2027
Study completion
2027
First posted
Feb 14, 2025
Registry last updated
Feb 14, 2025

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.