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Long vs Extended-short Nail When Treating Proximal Femur Fractures
Sponsor: Vestre Viken Hospital Trust
Summary
Fractures of the upper part of the femur may be treated with intramedullary nails. There are different designs to choose from. The intention of this RCT is to compare two nails with some of the same properties, but with different lengths. Usually, it is the surgeon who decides which nail to be used. The literature indicates that there is a lack of good evidence in the decision-making, and that the choice often depends on personal preferences and experience of the surgeon. Therefore, the investigators want to compare whether one of the nails has a better outcome than the other, and in that way be able to give some clearer guidelines for treatment. Patients will be randomized into two groups, one receiving a long nail and one receiving an extended-short nail and compare surgical and functional outcomes. Information from the operation and subsequent check-ups will be analysed. The hypothesis is that the extended-short nail can reduce operating time, bleeding, fluoroscopy time and give equal or better functional outcome, without increasing reoperation rates or mortality.
Official title: Long vs Extended-short Nail When Treating Proximal Femur Fractures - An RCT-study Examining Differences in Functional and Surgical Outcomes
Key Details
Gender
All
Age Range
Any - Any
Study Type
INTERVENTIONAL
Enrollment
800
Start Date
2020-12-01
Completion Date
2025-12
Last Updated
2024-05-29
Healthy Volunteers
No
Conditions
Interventions
TFNA extended-short nail (235 mm)
The extended short version of the TFN-advanced proximal femoral nailing system (TFNA)
TFNA long nail (260-480mm)
The long version of the TFN-advanced proximal femoral nailing system (TFNA)
Locations (2)
Drammen Hospital, Vestre Viken HF
Drammen, Norway
Kongsberg hospital, Vestre Viken HF
Kongsberg, Norway