Monitoring bleeding in patients with femoral neck fractures on NOAC therapy during surgery

Bleeding of Patients Using NOAC Anticoagulation Therapy in Proximal Femoral Fracture Internal Fixation Surgery

Observational Meir Hospital, Kfar Saba, Israel · NCT06644976

This study is testing whether it's safe to perform surgery right away on patients with femoral neck fractures who are taking blood thinners, by checking for bleeding during the procedure.

Quick facts

Study typeObservational
Enrollment100 (estimated)
Ages18 Years and up
SexAll
SponsorMeir Hospital, Kfar Saba, Israel Academic / other
Locations1 site (Kfar Saba)
Trial IDNCT06644976 on ClinicalTrials.gov

What this trial studies

This observational study aims to evaluate the safety of performing surgery on patients with femoral neck fractures who are on NOAC anticoagulation therapy without the traditional waiting period. The researchers will monitor bleeding during the surgery and measure the levels of NOAC drugs in the blood. By comparing outcomes with regular patients, the study seeks to determine if earlier surgical intervention is feasible and safe for these patients.

Who should consider this trial

Good fit: Ideal candidates are adults over 18 years old with femoral neck fractures who are capable of providing informed consent and are on NOAC therapy.

Not a fit: Patients under 18 years old, those on anti-platelet therapy, or with certain medical conditions such as low creatinine clearance or active cancer therapy may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could allow for quicker surgical treatment of femoral neck fractures in patients on NOAC therapy, potentially improving recovery times and outcomes.

How similar studies have performed: While this approach is innovative, similar studies have not been widely reported, indicating that this may be a novel investigation.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

above 18 y.o femoral neck fracture NOAC capable of making inform consent primary surgery

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Exclusion Criteria:

* under 18 y.o
* anti platelet therapy (aspirin is not included)
* creatinine clearance under 50
* active anti cancer therapy
* ITP patients
* non capable of making inform consent
* patients which decide not to proceed with the expeirment

Where this trial is running

Kfar Saba

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions OsteoperosisFemoral Neck FracturesAnticoagulant Therapy
Last reviewed 2026-06-13 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.