- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03807349
N-Force Screws Augmented With N-Force Blue in Hip Fractures (N-Force)
N-Force Screws Augmented With N-Force Blue in Intracapsular Proximal Femur Fracture Treatment
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Primary Endpoint:
• Re-operation within 12 months after initial surgery to promote fracture healing, relieve pain, treat infection, or improve function.
Secondary Endpoints:
- Radiographic and clinical fracture healing of the proximal femur using standard scoring methods and patient satisfaction.
- Cost effectiveness
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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California
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Stanford, California, United States, 94305
- Stanford University
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Missouri
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Saint Louis, Missouri, United States, 63130
- Washington University
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Oregon
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Eugene, Oregon, United States, 97401
- Donald B Slocum Research and Education Foundation
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Utah
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Salt Lake City, Utah, United States, 84108
- University of Utah
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patient has primary Garden I or II intracapsular proximal femur fracture requiring surgical intervention and is eligible for fixation by three cannulated screws augmented with N-Force Blue.
- Patient receives operative treatment within 7 days of injury.
- Patient was ambulatory before injury.
- Patient is 50 years of age or older.
Exclusion Criteria:
- Patient has Garden III or IV intracapsular proximal femur fracture.
- Patient has major cognitive impairment (including dementia).
- Patient is on dialysis.
- Patient is not expected to survive follow-up schedule.
- Patient is expected to have problems maintaining follow-up compliance, i.e. patients with no fixed address, patients not mentally competent to give informed consent, etc. (Investigator's discretion).
- Patient is a prisoner.
- Patient is known to be pregnant and/or breastfeeding.
- Patient is a known alcohol or drug abuser.
- Patient had previous/has active acute or chronic infections, especially at the site of operation.
- Patient has non-viable bone, or has areas where surrounding bone is not viable or capable of supporting and anchoring the implant.
- Patient has traumatic injuries with open wounds or close to the proximal femur fracture, which are likely to become infected.
- Patient is expected to be non-compliant with recommended post-operative weight-bearing instructions.
- Physical conditions, in the opinion of the investigator, that would prohibit adequate implant support or impede healing.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: N-Force Screws
N-Force Screws augmented with N-Force Blue in Intracapsular Femur Fractures.
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N-Force Fixation System 7.3 mm (Non-fenestrated/fenestrated) applied with washers; N-Force Blue (Bone Substitute Material)
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Participants With a Reoperation
Time Frame: 12 months
|
Reoperation after initial surgery to promote fracture healing, relieve pain, treat infection, or improve function.
|
12 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Participants With Radiographic Fracture Healing of the Intracapsular Femur (RUSH)
Time Frame: 6 weeks, 3 months, 6 months, and 12 months
|
Radiographic fracture healing as seen on x-ray and defined using Radiographic Union Score for Hips (RUSH) scoring system.
The RUSH quantifies four measures of healing: cortical bridging, cortical fracture disappearance, trabecular consolidation, and trabecular fracture disappearance.
Cortical healing is assessed in four anatomic femoral neck regions (anterior, posterior, medial, lateral) and trabecular healing is measured with two assessments (fracture line disappearance and consolidation of matrix).
Each of the 10 assessed dimensions of radiographic femoral neck healing are scored 1 to 3, leading to a minimum score of 10 (no signs of healing) and a maximum score of 30 (perfect healing).
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6 weeks, 3 months, 6 months, and 12 months
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Participant Steinberg Classification at 12 Months
Time Frame: 12 months
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Steinberg Classification is based on the radiographic appearance and location of lesion. It is concise and delineates the progression and extent of Avascular Necrosis (AVN) involvement more accurately. [stage 0:] normal or non-diagnostic radiographs, MRI and bone scan of at risk hip (often contralateral hip involved, or patient has risk factors and hip pain) [stage I:] normal radiograph, abnormal bone scan and/or MRI [stage II:] cystic and sclerotic radiographic changes [stage III:] subchondral lucency or crescent sign [stage IV:] flattening of femoral head, with depression graded into mild: <2 mm moderate: 2-4 mm severe: >4 mm [stage V:] joint space narrowing with or without acetabular involvement [stage VI]: advanced degenerative changes |
12 months
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Average FIX-IT Score (Clinical Fracture Healing of the Intracapsular Femur)
Time Frame: 6 weeks, 3 months, 6 months, and 12 months
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The Function IndeX for Trauma (FIX-IT) score is an assessment tool for patients with lower extremity fractures, incorporating pain and the ability to weight-bear.
The score utilizes two questions to assess the ability to bear weight and two questions to assess pain at the fracture site.
The maximum subtotal for each set of questions is 6 points, yielding a maximum overall score of 12 points and a minimum score (lowest weight bearing and highest pain) of 0 points.
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6 weeks, 3 months, 6 months, and 12 months
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Average EQ-5D-5L Score (Clinical Fracture Healing of the Intracapsular Femur)
Time Frame: 6 weeks, 3 months, 6 months, and 12 months
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The EuroQol five dimensions questionnaire (EQ-5D-5L) is a five dimensional self-assessment that is comprised of mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. These five dimensions can be used to index a subject's health utility on a scale of 0 to 1, where 0 is death and 1 is perfect health. The scoring rule for EQ-5D permits scores less than 0, implying that some health states may be worse than death. The Health Status is scored on a VAS scale of 0 to 100, where 100 ('the best imaginable health state' or 'the best health state you can imagine') to 0 ('the worst imaginable health state' or 'the worst health you can imagine'). |
6 weeks, 3 months, 6 months, and 12 months
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Average Harris Hips Score (Clinical Fracture Healing of the Intracapsular Femur)
Time Frame: 6 weeks, 3 months, 6 months, and 12 months
|
This will be measured using Harris Hip Score.
This is quantified on a scale of 0-100 and the domains covered are pain, function, absence of deformity, and range of motion.
The score is quantified on a scale of 0-100, with 100 points being the best possible outcome.
The domains cover pain (1 item, 0-44 points), function (7 items, 0-47 points), absence of deformity (1 item, 4 points), and range of motion (2 items, 5 points).
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6 weeks, 3 months, 6 months, and 12 months
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Number of Participants That Performed Timed Up-and-Go Test (Clinical Fracture Healing of the Intracapsular Femur)
Time Frame: 6 weeks, 3 months, 6 months, and 12 months
|
This will be measured using the Timed 'Up-and-Go' Test.
It uses the time that a person takes to rise from a chair, walk three meters, turn around, walk back to the chair, and sit down.This test is used to assess a person's mobility and requires both static and dynamic balance.
Scores of ten seconds or less indicate normal mobility, 11-20 seconds are within normal limits for frail elderly and disabled patients, and greater than 20 seconds means the person needs assistance outside and indicates further examination and intervention.
A score of 30 seconds or more suggests that the person may be prone to falls.
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6 weeks, 3 months, 6 months, and 12 months
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Average Participant Time to Complete Timed Up-and-Go Test (Clinical Fracture Healing of the Intracapsular Femur)
Time Frame: 6 weeks, 3 months, 6 months, and 12 months
|
This will be measured using the Timed 'Up-and-Go' Test.
It uses the time that a person takes to rise from a chair, walk three meters, turn around, walk back to the chair, and sit down.This test is used to assess a person's mobility and requires both static and dynamic balance.
Scores of ten seconds or less indicate normal mobility, 11-20 seconds are within normal limits for frail elderly and disabled patients, and greater than 20 seconds means the person needs assistance outside and indicates further examination and intervention.
A score of 30 seconds or more suggests that the person may be prone to falls.
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6 weeks, 3 months, 6 months, and 12 months
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Cost-Effective Analysis
Time Frame: 12 months
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Analysis will be performed comparing N-Force to standard non-augmented cannulated screws.
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12 months
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- CMU2017-60T
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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