Ignite Creation Date:
2024-06-16 @ 11:49 AM
Last Modification Date:
2024-10-26 @ 3:30 PM
Study NCT ID:
NCT06436352
Status:
COMPLETED
Last Update Posted:
2024-05-31
First Post:
2024-05-24
Brief Title:
Does Capsulotomy in Closed Reduction of Femoral Neck Fractures Decrease Incidence of Avascular Necrosis
Sponsor:
Kasr El Aini Hospital
Organization:
Kasr El Aini Hospital
Study Overview
Official Title:
Does Capsulotomy in Closed Reduction of Femoral Neck Fractures Decrease Incidence of Avascular Necrosis
Status:
COMPLETED
Status Verified Date:
2024-05
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Femurs neck injuries are frequently encountered fractures They are usually due to high energy or low energy indirect trauma Healing of these fractures is usually hindered due to avascular necrosis AVN or non-union of the Femurs head This study looks forward to investigating the impact of capsulotomy and internal fixation in lowering the incidence of complications and improving the functional outcomes
Detailed Description:
Femoral neck fractures constitute a frequent orthopaedic usually due to indirect assault It primarily affects older people with younger people accounting for barely 2 - 3 Nevertheless since transportation has recently advanced rapidly high-energy trauma has become increasingly widespread The prevalence of femur neck injuries among youth is likewise growing in hospitals by an estimated rate of about 6000 yearly Hip blood supply is especially important while addressing femoral neck fractures Blood supply emerges from the capsular intramedullary and the ligamentum teres vessels In adults capsular vessels provide most of the femurs head blood supply The arteries originate out of the medial and lateral circumflex femoral arteries Those areteries are in turn branced out of the profunda femoris in seventy nine of the population There is an exception for 20 of population where one vessel originates from the femoral artery Moreover there is 1 of the population in which both vessels originate from the femoral artery The effectiveness and benefits of capsulotomy in treating femurs neck fractures among youth were compared to closed reduction and internal fixation CRIF AVN and non-union are the most prevalent and difficult complications In terms of trauma degree index incision length amount of lost blood and operative time capsulotomy and internal fixation are less effective than CRIF However it outperforms CRIF in functional effectiveness Harris Hip Score
Some differences exist between capsulotomy reduction and internal fixation First and foremost is proper anatomical reduction With direct sight and adequate exposure an acceptable anatomical reduction can be obtained laying the groundwork for the healing of fractures Furthermore it could unlock certain retinacular arteries that have been temporarily blocked by kinking or stretching allowing for the the restoration of some vascular function The second principal is stable internal fixation that can be achieved by proper placement of the screws under direct visualization
Researchers have concluded that evacuating of the hematoma significantly lowers the capsular pressure and improves pulse perfusion of the femurs head Our study aims to investigate the efficiency of capsulotomy in enhancing the healing process of femurs neck fractures
Some differences exist between capsulotomy reduction and internal fixation First and foremost is proper anatomical reduction With direct sight and adequate exposure an acceptable anatomical reduction can be obtained laying the groundwork for the healing of fractures Furthermore it could unlock certain retinacular arteries that have been temporarily blocked by kinking or stretching allowing for the the restoration of some vascular function The second principal is stable internal fixation that can be achieved by proper placement of the screws under direct visualization
Researchers have concluded that evacuating of the hematoma significantly lowers the capsular pressure and improves pulse perfusion of the femurs head Our study aims to investigate the efficiency of capsulotomy in enhancing the healing process of femurs neck fractures
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None