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| Name | Class |
|---|---|
| Parc Taulí Hospital Universitari | OTHER |
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Introduction:
Controversy exists with regard to whether to treat AO/OTA (Orthopaedic Trauma Association) 32.A2 - 32-A3 fractures of the proximal part of the femur with an intramedullary short PFN-A or long PFN-A. A prospective, randomized, controlled trial is performed to compare the outcome treatment of these unstable fractures of the proximal part of the femur with either a short PFN-A (170-240mm) or long PFN-A (300-420mm).
Objectives and Hypothesis The hypothesis is that the Short PFN-A would have fewer complications than Long PFN-A
Main Objective: Is defined as Total number of complications between PFN-A short and PFN-A long. Outcome measures were subdivided into preoperative, perioperative and post-operative. Follow up data at four weeks, three months and one year.
Secondary objectives: Complete and uneventful radiological and clinical healing of the fracture. Revision operations (related to the failure of primary treatment) and mortality. Baseline characteristics were documented pre-operatively: Outcome measures were subdivided into intra-operative, post-operative and follow up data at four weeks, three months and one year.
Methodology: One hundred and eighty eight patients presenting with an AO/OTA 31-A2 and 31-A3 fracture of the proximal part of the femur will be randomized, at the time of the admission, to fixation with use either a short PFN-A or a long PFN-A.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard PFN-A | Active Comparator | Patients with unstable proximal femoral fractures treated with PFN-A short nail (170-240mm) |
|
| Long PFN-A | Active Comparator | Patients with unstable proximal femoral fractures treated with PFN-A long nail (300-420mm) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PFN-A | Device |
|
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| Measure | Description | Time Frame |
|---|---|---|
| Total number of complications between PFN-A short and PFN-A long | follow-up data is recruited at 4 weeks, 3 months and one | One year |
| Measure | Description | Time Frame |
|---|---|---|
| Complete and uneventful radiological and clinical healing of the fracture and mortality | follow-up data is recruited at 4 weeks, 3 months and one year. | One year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ferran Fillat-Gomà, MD | Hospital Universitario Parc Tauli de Sabadell | Principal Investigator |
| Joan Murias-Álvarez, MD | Hospital Universitario Parc Tauli de Sabadell | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Universitario Parc Taulí de Sabadell | Sabadell | Barcelona | 08208 | Spain |
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| ID | Term |
|---|---|
| D006620 | Hip Fractures |
| ID | Term |
|---|---|
| D005264 | Femoral Fractures |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D025981 | Hip Injuries |
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| D007869 |
| Leg Injuries |