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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?
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?
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| I will compare results with favourable outcomes between single and dual constructs |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Single construct versus dual constructs will give satisfactory radiological and functional outcomes | Procedure | 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. |
| 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 |
| 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. |
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Inclusion Criteria:
Exclusion Criteria:
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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.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Abanoub Ibrahim Khalifa yakoup, Resident doctor | Contact | +201272105193 | abanoubibrahim233@gmail.com | |
| Mahmoud Youssef Badran, Assistant Professor | Contact | +201000341878 | m_badran80@yahoo.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Assiut university | Asyut | Egypt |
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| Label | URL |
|---|---|
| Related Info | View source |
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| 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 |