Comparing long and extended-short nails for treating hip fractures
Long vs Extended-short Nail When Treating Proximal Femur Fractures - An RCT-study Examining Differences in Functional and Surgical Outcomes
This study is testing whether using long or extended-short nails for fixing hip fractures leads to better recovery and fewer complications for patients.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 800 (estimated) |
| Sex | All |
| Sponsor | Vestre Viken Hospital Trust Academic / other |
| Locations | 2 sites (Drammen and 1 other locations) |
| Trial ID | NCT04652310 on ClinicalTrials.gov |
What this trial studies
This clinical trial aims to compare the outcomes of two types of intramedullary nails—long and extended-short—used in the treatment of proximal femur fractures. Patients will be randomly assigned to receive either a long nail or an extended-short nail, and the study will analyze surgical and functional outcomes, including operating time, bleeding, and fluoroscopy time. The goal is to provide clearer guidelines for surgeons by determining if one nail design offers better results than the other. The trial addresses a gap in existing literature regarding the optimal choice of nail length for these fractures.
Who should consider this trial
Good fit: Ideal candidates include patients with intertrochanteric, pertrochanteric, or subtrochanteric fractures who are fit for surgery.
Not a fit: Patients with AO 31-A3 fractures or those who are cognitively impaired and unable to provide informed consent will not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to improved surgical outcomes and reduced complications for patients with hip fractures.
How similar studies have performed: Previous studies have shown mixed results regarding the effectiveness of different nail lengths, making this trial a valuable contribution to the ongoing discussion in orthopedic treatment.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Intertrochanteric, pertrochanteric or subtrochanteric fractures * Distal fracture limit within 4 cm below the trochanter minor * Intramedullary nailing with TFNA-nail is indicated * Patient is fit for surgery. Exclusion Criteria: * AO 31-A3 fractures (revers oblique fractures) * Cognitively impaired patients who themselves cannot understand the study information and give informed consent, and do not have a next of kin or legal guardian who can give consent on their behalf.
Where this trial is running
Drammen and 1 other locations
- Drammen Hospital, Vestre Viken HF — Drammen, Norway (Recruiting)
- Kongsberg hospital, Vestre Viken HF — Kongsberg, Norway (Recruiting)
Study contacts
- Principal investigator: Heidi B Dyrop, MD, PHD — Orthopedic Dpt, Kongsberg Hospital, Vestre Viken HF
- Study coordinator: Heidi B Dyrop, MD, PHD
- Email: heidyr@vestreviken.no
- Phone: +4799030104
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.