Femoral Neck Locking Plate Vs Multiple Cannulated Cancellous Screws in Treatment of Femoral Neck Fractures in Young Adults: Randomized Controlled Clinical Trial Study

Eslam Mohamed AHmed

Status: Not yet enrolling

Conditions: Femoral Neck Fractures

Treatments: Device: femoral neck locking plate; Device: multiple cannulated cancellous screws

Study type: Interventional

Funder types: Other

Identifiers

NCT06162637

Soh-Med-23-11-02MS

Details and patient eligibility

About

Fracture neck femur are common injuries, especially seen in the elderly in the emergency setting. It is also seen in young patients with high-energy trauma. Immediate diagnosis and management are required to prevent threatening joint complications. Fracture neck femur in young adults is unsolved problem. The preservation of the native hip anatomy and biomechanics is essential in active young adults. Because of the vulnerable blood supply to the femoral part of the hip joint following these fractures, there is a high risk of developing avascular necrosis (AVN) and non-union. Any sort of surgical fixation should aim at preservation the blood supply while securing enough mechanical stability until the fracture unites. Open reduction is indicated in fractures which cannot be anatomically reduced by gentle manipulation. This should be carried out without any delay since this potentially can reduce the incidence of AVN. Treatment of fracture neck femur still controversial. There are several methods for treatment of fracture neck femur as multipe cannulated cancellous screws, locking plate, dynamic hip screw (DHS) with anti-rotational screw, and arthroplasty. There is no internal fixation method superior to another. In this study, we will compare the clinical and radiographic results of femoral neck locking plate vs multiple cannulated cancellous screw in treating femoral neck fractures in young adults.

Enrollment: 20 estimated patients

Sex: All

Ages: 20 to 55 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients (20-55) years
• having unilateral traumatic femoral neck fracture
• idependent walker before trauma without any aids

Exclusion criteria

• open fracture
• pathological fracture
• preexisting deformity
• other pelvic or ipsilateral femoral injuries
• renal impairment or were on high dose steroids

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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20 participants in 2 patient groups

A

Other group

Description:

grup A with femoral neck fracture will be fixed by femoral neck locking plate

Treatment:

Device: femoral neck locking plate

B

Other group

Description:

grup B with femoral neck fracture will be fixed by Multiple cannulated cancellous screws

Treatment:

Device: multiple cannulated cancellous screws