This trial is evaluating whether Static Locking will improve 1 primary outcome and 8 secondary outcomes in patients with Pertrochanteric Fractures. Measurement will happen over the course of intra-operatively, 1 day post-op, 6 weeks, 12 weeks, 6 months, and 12 months.
This trial requires 218 total participants across 2 different treatment groups
This trial involves 2 different treatments. Static Locking is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.
"Pain in the thigh, leg and groin is the most common presenting complaint and is suggestive of a femoral fracture. The ability to bear weight on one leg is suggestive of a hip fracture. Pneumothorax is a rare complication that usually occurs within the first week of admission." - Anonymous Online Contributor
"An estimated 19,700 femoral fractures occur annually in the United States. The fracture occurs mostly in men 65 and older. Most of these injuries can be traced back to falls or blunt trauma, specifically sports injury." - Anonymous Online Contributor
"A fracture of the femur by a trauma patient should always be treated with open reduction and internal fixation as soon as possible, since in many other respects the patients are good candidates to surgical treatment. But if any doubt about the fracture can be excluded, a closed reduction and percutaneous pinning procedure may be undertaken." - Anonymous Online Contributor
"When an injury is classified as a type A3, X or G it is a femoral shaft fracture. This can be suspected in the absence of any other signs of injury." - Anonymous Online Contributor
"Over time, we identified several significant risk factors for fracture; however, many factors probably have a small effect, so these factors need to be investigated in finer detail to be useful in risk assessment. We found strong support for a major osteosclerosis factor. As the osteosclerosis is a non-modifiable risk factor, targeting it with treatment could improve the prevention of fractures at this site in older people." - Anonymous Online Contributor
"For most femur fractures, nonoperative management is preferred, with conservative care or short-time immobilization being the most popular treatment. Surgery is sometimes utilized, especially for open fractures or fractures involving the neck of the femur or around intertrochanteric joints." - Anonymous Online Contributor
"In our experience, static locking is associated with a high rate of wound infection, compartment syndrome, vascular injury, nerve injuries, and knee arthritis. Especially with the latter, early and aggressive treatment is required to avoid serious complications." - Anonymous Online Contributor
"The data for this study have confirmed a [contribution of static locking] to decrease risk of knee dislocation with a high rate of pain resolution during short immobilization after surgery. For our purposes, this study confirms its use is to prevent knee dislocation when combined with other treatments. We would consider its use of static locking when combined with other treatments (internal fixation and/or physiologic treatments (e.g. Kinemax) to treat a femoral fracture." - Anonymous Online Contributor
"Static locking screws with diameters outside 3 mm of the ideal size provided better fixation than those without screw widening. With an implant thickness of 4.5 mm, the static locking screws with diameters between 2 and 5 mm provided better fixation than the larger diameter static locking screws. In addition, static locking screws with diameters greater than 5 mm provided better fixation than those with 2 mm diameters. However, the static locking systems with larger diameters worked less well than their larger diameters. Based on the above results, 3." - Anonymous Online Contributor
"Using mechanical compression, static locking does not decrease in-hospital length of stay when applied to non-osteoporotic patients with femoral fractures. The use of compression stockings should not be encouraged to simplify the treatment of non-osteoporotic femoral fractures." - Anonymous Online Contributor
"Femoral fractures commonly require operative treatment; however, the high rates of mortality and morbidity suggest that patient and physician education may be enhanced by the use of clinical prediction rules." - Anonymous Online Contributor
"For those with femoral fractures, a locked plating resulted in higher levels of pain in the knee when compared with open plating. These differences were not seen for those without fractures or with only minor fractures. Although there is no evidence to support the routine use of locked plates, in patients with femoral fractures, our results provide strong support for the use of a locking plate to improve recovery." - Anonymous Online Contributor