Clinical trial Recruiting at 1 site Interventional Ages 50 to 85

Improving surgery for proximal femur fractures using a navigation system

Official title: Improving Intramedullary Nailing of Proximal Femoral Fractures Through a Navigation Assisted Technique: a Double Blinded Randomized Control Trial

Run by Ente Ospedaliero Cantonale, Bellinzona · NCT04494672 · Data updated 2026-11-12

This study is testing a new navigation system during surgery for hip fractures to see if it can make the surgery safer and more accurate for people aged 50 to 85.

Quick facts

Study typeInterventional
Ages50 Years to 85 Years
SexAll
Enrollment96 (estimated)
SponsorEnte Ospedaliero Cantonale, Bellinzona
Academic / other
Drugs / interventionsradiation
Locations1 site (Lugano)
StatusRecruiting
StartedSeptember 28, 2020
Main results expectedAugust 1, 2028
Study endsAugust 1, 2028
Registry record updatedSeptember 9, 2026
Trial IDNCT04494672 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are patients aged 50-85 undergoing unilateral primary intramedullary nailing for specific types of proximal femur fractures.

Probably not a fit

Patients with significant concomitant diseases or those unable to comply with study procedures may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial evaluates the effectiveness of the ADAPT system, a software that creates a virtual 3D reconstruction of the femoral head, in improving the surgical outcomes of intramedullary nailing for proximal femur fractures. The study is a randomized controlled trial with two arms: one group will undergo surgery with the ADAPT system, while the other will have the standard procedure without it. The trial aims to assess whether the ADAPT system can enhance screw placement accuracy, reduce surgery time, and minimize radiation exposure. A total of 96 patients aged 50-85 with specific fracture classifications will be enrolled at the Ospedale Regionale di Lugano.

Why it matters

Potential benefit: If successful, this approach could lead to safer and more efficient surgeries for patients with proximal femur fractures.

How similar studies have gone: Previous studies exploring similar navigation systems have shown promise, although they were underpowered, making this trial a critical step in validating the approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients undergoing unilateral primary intramedullary nailing at the Ospedale Regionale di Lugano.
* Patients aged 50-85 years old.
* Patients with a BMI \>18 and \<35.
* Patients able to provide informed consent and follow all the study procedures as indicated by the protocol.
* Radiological evidence of proximal fracture of the femur, AO classified as 31 A1.3, 31 A2.1, 31 A2.2, 31 A2.3, 31 A3.1, 31 A3.2, 31 A3.3.

Exclusion Criteria:

* Other clinically significant concomitant disease states (e.g. renal failure, major hepatic dysfunction, life-threatening cardiovascular disease, etc..).
* Known or suspected non-compliance, drug or alcohol abuse.
* Inability to follow the procedures of the study, e.g. due to language problems, psychological disorders, dementia, etc. of the participant.
* Previous enrolment into the current study.
* Enrolment of the investigator, his/her family members, employees and other dependent persons.

Where it's running

  • Christian Candrian
    Lugano, Switzerland
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.