Femoral Neck Locking Plate Vs Multiple Cannulated Cancellous Screws in Treatment of Femoral Neck Fractures in Young Adults: Randomized Controlled Clinical Trial Study

Study Overview
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Brief Summary
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Fracture neck femur are common injuries, especially seen in the elderly in the emergency setting. It is also seen in young patients with high-energy trauma. Immediate diagnosis and management are required to prevent threatening joint complications. Fracture neck femur in young adults is unsolved problem. The preservation of the native hip anatomy and biomechanics is essential in active young adults. Because of the vulnerable blood supply to the femoral part of the hip joint following these fractures, there is a high risk of developing avascular necrosis (AVN) and non-union. Any sort of surgical fixation should aim at preservation the blood supply while securing enough mechanical stability until the fracture unites. Open reduction is indicated in fractures which cannot be anatomically reduced by gentle manipulation. This should be carried out without any delay since this potentially can reduce the incidence of AVN. Treatment of fracture neck femur still controversial. There are several methods for treatment of fracture neck femur as multipe cannulated cancellous screws, locking plate, dynamic hip screw (DHS) with anti-rotational screw, and arthroplasty. There is no internal fixation method superior to another. In this study, we will compare the clinical and radiographic results of femoral neck locking plate vs multiple cannulated cancellous screw in treating femoral neck fractures in young adults.

Official Title
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Femoral Neck Locking Plate Vs Multiple Cannulated Cancellous Screws in Treatment of Femoral Neck Fractures in Young Adults: Randomized Controlled Clinical Trial Study

Conditions
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Femoral Neck Fractures

Intervention / Treatment
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* Device: femoral neck locking plate
* Device: multiple cannulated cancellous screws


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients (20-55) years having unilateral traumatic femoral neck fracture idependent walker before trauma without any aids Exclusion Criteria: open fracture pathological fracture preexisting deformity other pelvic or ipsilateral femoral injuries renal impairment or were on high dose steroids

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 55 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: A<br>grup A with femoral neck fracture will be fixed by femoral neck locking plate | Device: femoral neck locking plate<br>* femoral neck fractures fixation by femoral neck locking plate<br>|
| Other: B<br>grup B with femoral neck fracture will be fixed by Multiple cannulated cancellous screws | Device: multiple cannulated cancellous screws<br>* femoral neck fractures fixation by multiple cannulated cancellous screws<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| improvement of pain on the Harris Hip Score (HHS) 6 months post operative | the Harris Hip Score (HHS) is a scale used for evaluating patients following hip fractures. possible scores range for improvement of pain from 44 (no pain) to 0 (totally disabled cripped pain). | 6 months | 
| Clinical evaluation of gait limping on the Harris Hip Score (HHS) 6 months post operative | the Harris Hip Score (HHS) is a scale used for evaluating patients following hip fractures. possible scores for limping gait range from 11 (none) to 0 (unable to walk). | 6 months |