Long vs Extended-short Nail When Treating Proximal Femur Fractures
Trial Parameters
Brief Summary
Fractures of the upper part of the femur may be treated with intramedullary nails. There are different designs to choose from. The intention of this RCT is to compare two nails with some of the same properties, but with different lengths. Usually, it is the surgeon who decides which nail to be used. The literature indicates that there is a lack of good evidence in the decision-making, and that the choice often depends on personal preferences and experience of the surgeon. Therefore, the investigators want to compare whether one of the nails has a better outcome than the other, and in that way be able to give some clearer guidelines for treatment. Patients will be randomized into two groups, one receiving a long nail and one receiving an extended-short nail and compare surgical and functional outcomes. Information from the operation and subsequent check-ups will be analysed. The hypothesis is that the extended-short nail can reduce operating time, bleeding, fluoroscopy time and give equal or better functional outcome, without increasing reoperation rates or mortality.
Eligibility Criteria
Inclusion Criteria: * Intertrochanteric, pertrochanteric or subtrochanteric fractures * Distal fracture limit within 4 cm below the trochanter minor * Intramedullary nailing with TFNA-nail is indicated * Patient is fit for surgery. Exclusion Criteria: * AO 31-A3 fractures (revers oblique fractures) * Cognitively impaired patients who themselves cannot understand the study information and give informed consent, and do not have a next of kin or legal guardian who can give consent on their behalf.