Comparing two methods for treating hip fractures
Prospective Randomized Controlled Comparison of Sliding Hip Screw to Intra Medullary Nailing in the Treatment of Intertrochanteric Hip Fracture
NA · University Hospital Waterford · NCT03906032
This study is testing whether a new surgical method for hip fractures can help people walk better and move more easily compared to a traditional method.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 150 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | University Hospital Waterford (other) |
| Locations | 1 site (Waterford) |
| Trial ID | NCT03906032 on ClinicalTrials.gov |
What this trial studies
This study investigates the effectiveness of two surgical methods, Sliding Hip Screw (SHS) and Intramedullary Nailing (IMN), in treating intertrochanteric hip fractures. It aims to determine if the IMN method provides better functional outcomes, particularly in terms of gait speed and mobility, compared to SHS. The study will involve a prospective randomized design, assessing various objective gait parameters and established postoperative outcomes. The findings could help address the significant healthcare costs associated with hip fractures and improve patient independence.
Who should consider this trial
Good fit: Ideal candidates are adults over 18 years old with OTA Hip fracture grade A1 or A2.
Not a fit: Patients with complex fractures, such as those with lateral wall comminution or concurrent lower limb fractures, may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to improved mobility and independence for patients recovering from hip fractures.
How similar studies have performed: Previous studies have not shown a clear advantage of nailing over hip screws, making this approach novel in its focus on functional outcomes.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * OTA Hip fracture grade A1 and A2 * Greater than 18 years old Exclusion Criteria: * Fracture less than 18 yrs old * Fracture with lateral wall trochanteric comminution * Poltrauma * Concurrent lower limb fractures * Immobile/wheelchair/bedbound patients * High energy hip fractures * Pathological fractures * Reverse oblique and sub-trochanteric femoral fractures which are considered obligate TFNA at our centre * Open wounds on affected limb * Active psoriasis or other dermatological conditions at affected area * Unable to gain consent from patient or patient's NOK
Where this trial is running
Waterford
- University Hospital Waterford — Waterford, Ireland (RECRUITING)
Study contacts
- Study coordinator: May Cleary, FRCS
- Email: may.cleary@hse.ie
- Phone: 0035351848000
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.
Conditions: Hip Fractures, Gait, Unsteady, Function, Timed up and go, mobility, functional outcome