Ignite Creation Date:
2024-06-16 @ 11:47 AM
Last Modification Date:
2024-10-26 @ 3:30 PM
Study NCT ID:
NCT06428760
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-05-24
First Post:
2024-04-15
Brief Title:
Relationship Between Preoperative Subcutaneous Trochanteric Fat Thickness and Postoperative Infection Risk
Sponsor:
Ankara City Hospital Bilkent
Organization:
Ankara City Hospital Bilkent
Study Overview
Official Title:
The Effect of Preoperative Subcutaneous Trochanteric Fat Thickness and Trochanteric Soft Tissue Thickness on Postoperative Infection Risk in Patients Undergoing Hemiarthroplasty for Femoral Neck Fracture
Status:
NOT_YET_RECRUITING
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:
The effect of preoperative subcutaneous trochanteric fat thickness and trochanteric soft tissue thickness on postoperative infection risk in patients undergoing hemiarthroplasty for femoral neck fracture
Detailed Description:
Obesity is a growing problem for healthcare systems and orthopaedic surgeons with 29 of the adult population in the UK and 40 in the US affected by obesity The most commonly used measure of obesity in healthcare is body mass index BMI and the World Health Organisation defines obesity as a BMI 30 kgm2 Much of the arthroplasty literature has also focused on the use of BMI as a measure of obesity
BMI-defined obesity is associated with an increased risk of perioperative complications including infection and dislocation in total hip arthroplasty It has also been shown that there is a gradual increase in anaesthetic time operative time and length of hospital stay as BMI increases in obese patients
BMI is an imperfect measure because it does not take into account age sex race fat distribution or muscle mass Previous studies have shown that subcutaneous fat depth FD is an independent risk factor for wound infection in cervical and lumbar spine surgery and after laparotomy It is not known whether increased subcutaneous fat and soft tissue mass are associated with an increased risk of complications after arthroplasty for femoral neck fractures
The aim of this study was to investigate whether preoperative measurement of subcutaneous adipose tissue by radiography and computed tomography CT and muscle thickness in the gluteus mediusminus gluteus maximus anterior and medial compartments by computed tomography CT in femoral neck fractures correlate with infection rates at postoperative follow-up
Hypothesis In patients with high body mass index BMI with femoral neck fractures the investigators believe that the relationship between increased subcutaneous adipose tissue on radiographs and CT sections and wound infection is as effective as the relationship between increased muscle thickness in the gluteus mediusminimus gluteus maximus anterior and medial compartments measured on CT sections and wound infection
BMI-defined obesity is associated with an increased risk of perioperative complications including infection and dislocation in total hip arthroplasty It has also been shown that there is a gradual increase in anaesthetic time operative time and length of hospital stay as BMI increases in obese patients
BMI is an imperfect measure because it does not take into account age sex race fat distribution or muscle mass Previous studies have shown that subcutaneous fat depth FD is an independent risk factor for wound infection in cervical and lumbar spine surgery and after laparotomy It is not known whether increased subcutaneous fat and soft tissue mass are associated with an increased risk of complications after arthroplasty for femoral neck fractures
The aim of this study was to investigate whether preoperative measurement of subcutaneous adipose tissue by radiography and computed tomography CT and muscle thickness in the gluteus mediusminus gluteus maximus anterior and medial compartments by computed tomography CT in femoral neck fractures correlate with infection rates at postoperative follow-up
Hypothesis In patients with high body mass index BMI with femoral neck fractures the investigators believe that the relationship between increased subcutaneous adipose tissue on radiographs and CT sections and wound infection is as effective as the relationship between increased muscle thickness in the gluteus mediusminimus gluteus maximus anterior and medial compartments measured on CT sections and wound infection
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