Radiological and Functional Outcomes of Internal Fixation Methods for Ipsilateral Femoral Neck and Shaft Fractures in Young Adult Patients

Does the single construct produce more favourable radiological and functional outcomes with less complication when it is compared to dual constructs for fixation of ipsilateral femoral neck and shaft fractures in young adult patients at one year follow up?

Study Overview

• Status: Not yet recruiting
• Conditions: Ipsilateral Neck and Shaft Fractures and Internal Fixation Method and Follow Up At One Year Postoperative for Radiological and Functional Outcomes
• Intervention / Treatment: Procedure: Single construct versus dual constructs will give satisfactory radiological and functional outcomes

Detailed Description

The investigators will do follow up for internal fixation methods for ipsilateral femoral neck and shaft fractures in young adult patients at one year and observe does single construct will give favourable outcomes versus dual constructs?

• Study Type: Observational
• Enrollment (Estimated): 24

Contacts and Locations

• Study Contact: Name: Abanoub Ibrahim Khalifa yakoup, Resident doctor; Phone Number: +201272105193; Email: abanoubibrahim233@gmail.com
• Study Contact Backup: Name: Mahmoud Youssef Badran, Assistant Professor; Phone Number: +201000341878; Email: m_badran80@yahoo.com

Study Locations

• Egypt
  • Assiut, Egypt
    • Assiut University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

Young adult patients from 18- 55 years old not more than and not less Not with comrbodities like uncontrolled diabetes,renal disease and neurological deficits.

Description

Inclusion Criteria:

• Age of the patients from 18 to 55 years
• Recent fracture within one week
• Ipsilateral Neck and shaft femur fractures according to AO Classification including 31 B (all types of neck ) and 32 A,B and C ( all types of shaft femur )

Exclusion Criteria:

• Open fractures GIII
• patients more than 55 and less than 18 years old
• Patient with comorbidities: uncontrolled D.M, renal patient, neurological deficits.

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
I will compare results with favourable outcomes between single and dual constructs	Procedure: Single construct versus dual constructs will give satisfactory radiological and functional outcomes; Single construct like cephalomedullary nail or long DHS in fixation of both neck and shaft fractures, dual constructs like DHS or cannulated screws and retrograde nail or DHS or cannulated screws and dymanic compression plate in fixation of both fractures.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Radiological union evaluation	Radiographic union evaluation of ipsilateral neck and shaft femur fractures after internal fixation methods at one year follow up in young adult patients using : Radiographic union score of the hip for neck fracture Radiographic union score for the femur fracture. Minimum score for these scales is 10 and maximum is 30 High score means good outcome	Assessment of radiological union and the time will be taken at one year follow up

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Functional outcome	Functional outcome will be assessed after internal fixation methods for ipsilateral femoral neck and shaft fractures in young adult patients using friedman and wyman scale to assess whether patients have pain , Impaired daily life activities and loss of hip and knee range of motion . this scale is categorised by good, fair and poor outcome Good which have no pain no impaired daily life activities and less than 20 % loss of hip and knee range of motion Fair mild impaired daily life activities, mild to moderate pain and 20_50% loss of hip and knee range of motion Poor moderate impaired daily life activities, severe pain and more than 50% loss of hip and knee range of motion.	One year follow up
Complications	Complications will be reported if occured like non- union, infection and avascular necrosis of the neck.	One year follow up

Collaborators and Investigators

• Sponsor: Assiut University

Publications and helpful links

Helpful Links

• Related Info

Study record dates

Study Major Dates

• Study Start (Estimated): March 1, 2025
• Primary Completion (Estimated): March 1, 2027
• Study Completion (Estimated): March 1, 2027

Study Registration Dates

• First Submitted: January 31, 2025
• First Submitted That Met QC Criteria: February 12, 2025
• First Posted (Actual): March 25, 2025

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: February 12, 2025
• Last Verified: January 1, 2025

More Information

Terms related to this study

• Keywords: Radiological and functional outcomes of internal fixation methods for ipsilateral femoral neck and shaft fractures in young adult patients
• Additional Relevant MeSH Terms: Wounds and Injuries; Fractures, Bone
• Other Study ID Numbers: RFOIFMIFNSFYAP

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No