An interventional study of lateral decubitus postion during proximal femoral nailing for unstable intertrochnateric femur fractures and Proximal femoral nailing for unstable intertrochnateric femur fractures in supine psoition using traction table in Unstable Intertrochanteric Fracture, sponsored by Ain Shams University. Completed at 1 site in Egypt. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-02-13.
Sponsored by Ain Shams University · Not applicable, Interventional, and Treatment
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This study is designed to compare two positions in the management of unstable intertrochanteric femur fractures. It's to compare the traditional supine position using a traction table and lateral decubitus. This study is designed to Compare between The accuracy of reduction In both methods, in addition,the radiological exposure and other secondary outcomes, like the blood loss, are compared.
To compare the fluoroscopic exposure time, quality of radiographic reduction, intra operative blood loss, setup time and surgical time between the lateral decubitus position and the use of a traction table in supine position in fixation of unstable intertrochanteric femur fractures by proximal femoral nail.
36 studies on the registry are indexed under Proximal Femoral Fractures; 6 are open to participants now.
This study's enrollment of 77 is above the median of 68 across 22 interventional studies indexed under Proximal Femoral Fractures.
Browse Proximal Femoral Fractures studies →Ain Shams University is the lead sponsor of 1,954 studies on the registry; 430 are open to participants now.
Of its 35 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.
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Exclusion Criteria:
Proximal femoral nailing in lateral decubitus position
Procedure: lateral decubitus postion during proximal femoral nailing for unstable intertrochnateric femur fractures
Proximal femoral nailing in supine position using traction table
Procedure: Proximal femoral nailing for unstable intertrochnateric femur fractures in supine psoition using traction table
different positions of the patient during the surgery
different positions for the proximal femoral nailing
Quality of radiographic reduction
Optimum Tip-to-apex distance (TAD) is 25mm or less. * Normal femoral neck shaft angle between 125 and 145 degree. * The Baumgartner reduction quality criteria : - 1. Criterion one (alignment) : 1. Anterior posterior view : normal or slight valgus neck shaft angle 2. lateral view : less than 20 degree of angulation (Slight valgus means a valgus of no more 10 degrees) 2. Criterion two (displacement) : 1. Anterior posterior view: less than 4 mm of displacement of any fragment. 2. Lateral view: less than 4 mm of displacement of any fragment. 3. The reduction will be categorized as good if both criteria were met, acceptable if only one criterion was met, and poor if Neither criterion was met.
Time frame: immediate postoperative
Fluoroscopic exposure time
The fluoroscopic exposure time is defined as: The total duration of fluoroscopy use in minutes during the set up and the surgical procedure.
Time frame: intraoperative
Setup time
The period between the moment of transfer of the patient from the anesthesia team to the surgical team till the time of incision. This period includes placement of the patient on the surgical table or the traction table, preparation, and draping. The reduction and use of fluoroscopy during the reduction will be included within this time frame.
Time frame: Intraoperative
Surgical time
The time between the skin incision and the closure of the wound.
Time frame: Intraoperative
Plan to share: Undecided — Not decided yet
No publications or documents are linked to this record.
Ran from Jun 2024 to primary completion in Jul 2025, 13 months.
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This study is completed, as verified in Feb 2026. You cannot join it, but the record below documents what was studied.
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