[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100543820":3},{"organization":4,"armGroups":7,"interventions":13,"overallOfficials":10,"centralContacts":10,"locations":21,"responsibleParty":34,"collaborators":10,"id":38,"slug":39,"hasResults":40,"nctId":41,"briefTitle":42,"officialTitle":42,"acronym":10,"eligibilityCriteria":43,"healthyVolunteers":40,"sex":44,"minAge":10,"maxAge":10,"enrollmentInfo":45,"targetDuration":10,"studyType":48,"phases":10,"briefSummary":49,"conditions":50,"keywords":52,"overallStatus":57,"whyStopped":10,"lastUpdateSubmitDate":58,"lastUpdatePostDateStruct":59,"startDateStruct":61,"completionDateStruct":63,"leadSponsor":65,"locationsCount":66},{"fullName":5,"class":6},"Ibn Jazzar Hospital","OTHER",[8],{"label":9,"type":10,"description":10,"interventionNames":11},"cases of recurrent fractures of the proximal end of the femur following surgical treatment failure",null,[12],"Procedure: total hip arthroplasty",[14],{"type":15,"name":16,"description":10,"armGroupLabels":17,"otherNames":18},"PROCEDURE","total hip arthroplasty",[9],[19,20],"plate","dynamic condylar screw",[22],{"facility":23,"status":10,"city":24,"state":10,"zip":25,"country":26,"countryCode":27,"cosmosGeoPoint":28,"geoPoint":33,"contacts":10},"IBN jazzar hospital","Kairouan","3190","Tunisia","TN",{"type":29,"coordinates":30},"Point",[31,32],10.09633,35.6781,{"lat":32,"lon":31},{"type":35,"investigatorFullName":36,"investigatorTitle":37,"investigatorAffiliation":5,"oldNameTitle":10,"oldOrganization":10},"PRINCIPAL_INVESTIGATOR","Zied Mansi","Principal investigator","100543820","our-experience-in-the-management-of-therapeutic-failures-of-fractures-of-the-proximal-end-of-the-femur-about-35-cases-100543820",false,"NCT06360835","Our Experience in the Management of Therapeutic Failures of Fractures of the Proximal End of the Femur (About 35 Cases)","Inclusion Criteria:\n\n* • Diagnosis of a fracture of the proximal end of the femur.\n\n  * Subsequent surgical intervention(s) due to failure of initial surgical treatment\n\nExclusion Criteria:\n\n* • Those initially treated with total hip arthroplasty.\n\n  * Patients lost to follow-up, not consistently monitored, or untreated after diagnosis of the complication.\n  * Cases with incomplete medical records","ALL",{"count":46,"type":47},35,"ACTUAL","OBSERVATIONAL","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.\n\nOsteosynthesis 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.\n\nIn 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).\n\nHowever, 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.",[51],"Proximal Femur Fractures",[53,54,55,56],"femoral neck fracture","pertrochanteric fracture","internal osteosynthesis","mechanical complications","COMPLETED","2024-04-08",{"date":60,"type":47},"2024-04-11",{"date":62,"type":47},"2015-01-01",{"date":64,"type":47},"2021-12-02",{"name":5,"class":6},1]