Ignite Creation Date:
2024-05-06 @ 8:24 PM
Last Modification Date:
2024-10-26 @ 3:26 PM
Study NCT ID:
NCT06360835
Status:
COMPLETED
Last Update Posted:
2024-04-11
First Post:
2024-03-28
Brief Title:
Our Experience in the Management of Therapeutic Failures of Fractures of the Proximal End of the Femur About 35 Cases
Sponsor:
Ibn Jazzar Hospital
Organization:
Ibn Jazzar Hospital
Study Overview
Official Title:
Our Experience in the Management of Therapeutic Failures of Fractures of the Proximal End of the Femur About 35 Cases
Status:
COMPLETED
Status Verified Date:
2024-04
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:
Osteosyntheses employed in treating fractures at the upper end of the femur play a critical role in facilitating a swift recovery by minimizing immobilization periods and enabling early rehabilitation of the affected joints thereby promoting a speedy return to normal walking function
Osteosynthesis alters the mechanical dynamics of the bone segment which undergoes continual changes during the consolidation and mobilization phases of recovery Throughout these stages a range of mechanical complications may arise posing challenges despite the successful prevention of infections Non-infectious complications associated with the presence of osteosynthesis materials especially in weight-bearing areas like the lower limb remain a concern
In light of these considerations surgeons must exercise meticulous care in selecting synthetic materials to mitigate the risk of osteosynthesis failures In cases where internal fixation fails the standard recourse often involves converting to total hip arthroplasty THA
However it is essential to note that THA subsequent to complications arising from proximal femur osteosynthesis presents a higher incidence of both intraoperative and postoperative complications compared to the implantation of primary total hip prostheses Thus while osteosynthesis remains a valuable intervention for femur fractures careful attention to material selection and postoperative management is crucial in optimizing patient outcomes and minimizing complications
Osteosynthesis alters the mechanical dynamics of the bone segment which undergoes continual changes during the consolidation and mobilization phases of recovery Throughout these stages a range of mechanical complications may arise posing challenges despite the successful prevention of infections Non-infectious complications associated with the presence of osteosynthesis materials especially in weight-bearing areas like the lower limb remain a concern
In light of these considerations surgeons must exercise meticulous care in selecting synthetic materials to mitigate the risk of osteosynthesis failures In cases where internal fixation fails the standard recourse often involves converting to total hip arthroplasty THA
However it is essential to note that THA subsequent to complications arising from proximal femur osteosynthesis presents a higher incidence of both intraoperative and postoperative complications compared to the implantation of primary total hip prostheses Thus while osteosynthesis remains a valuable intervention for femur fractures careful attention to material selection and postoperative management is crucial in optimizing patient outcomes and minimizing complications
Detailed Description:
The aim was to identify the causes of mechanical failures of osteosynthesis in order to prevent them Methods We present the experience of the Department of Surgical Orthopedic Surgery concerning 35 cases summarized after failure of surgical treatment of a fracture of the proximal end of the femur for a period spreading between January 2015 and December 2021 The literature already found evidence of the greater complexity of this type of procedure compared to a first-line total hip prosthesis Accordingly all this Prevention is better than cure these stiffnesses through good preoperative planning Other factors related to the terrain or to untimely loading of the implant are more difficult to control Whatever the cause the surgeon remains by the rigor in these indications the choice of the synthetic material the essential element in the prevention of osteosynthesis failures
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