Intertrochanteric Femoral FractureNCT07874477
DHS Fixation for Extra Capsular Fractures of Proximal Femur in Geriatric Population
A study testing Early weight bearing and Delayed mobilization in people with Intertrochanteric Femoral Fracture, run by Hayat Abad Medical Complex, Peshawar at 1 site in Pakistan.
Trial summary
This study compares two approaches to starting walking and weight bearing after surgery for a fracture near the hip in older adults. All participants undergo fixation with a dynamic hip screw, a metal implant that holds the broken bone in position while it heals. Read more about this study
- Who is it for?
- Ages 60 to 85 years
- Conditions the study is for
- Intertrochanteric Femoral Fracture
- What is being tested?
- Early weight bearing and Delayed mobilization
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 90 participants
- Where
- 1 sitePakistan
- Study dates
- 9 Apr 2026to 8 Oct 2026
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 60 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age within the eligibility range specified in the approved protocol.
- Male or female.
- Radiologically confirmed intertrochanteric femoral fracture.
- Undergoing dynamic hip screw fixation.
Who cannot join
- Pre-existing contractures.
- Open fractures.
- Pathological fractures.
- Polytrauma.
- Associated neurovascular injuries.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Outcomes of DHS Fixation for Extra Capsular Fractures of Proximal Femur in Geriatric Population
This study compares two approaches to starting walking and weight bearing after surgery for a fracture near the hip in older adults. All participants undergo fixation with a dynamic hip screw, a metal implant that holds the broken bone in position while it heals.
Ninety participants are randomly assigned to two equal groups. One group starts weight bearing during the first week after surgery. The other group delays mobilization until after the first week. Both groups receive routine postoperative care and physiotherapy.
The study aims to determine whether earlier weight bearing improves pain, walking ability, and everyday activities. Recovery is assessed using the Modified Harris Hip Score at six weeks and three months after surgery. Postoperative complications are also recorded.
Read the detailed description
This single-center, randomized controlled trial is conducted in the Department of Orthopaedics and Spine Surgery at Hayatabad Medical Complex, Peshawar, Pakistan. It compares early weight bearing with delayed mobilization following dynamic hip screw fixation of intertrochanteric femoral fractures in older adults.
Ninety participants are assigned in a 1:1 ratio using blocked randomization. The early weight-bearing group begins weight bearing within the first postoperative week, while the delayed-mobilization group begins mobilization after the first postoperative week.
Both groups undergo closed fracture reduction under fluoroscopic guidance followed by fixation with a dynamic hip screw and side plate through a lateral approach. Routine postoperative care includes antibiotics, analgesia, thromboprophylaxis, wound care, and physiotherapy. The planned difference between groups is the timing of postoperative weight bearing and mobilization.
Functional recovery is assessed at six weeks and three months using the Modified Harris Hip Score, which evaluates pain, walking, and activities of daily living. Postoperative complications are recorded during follow-up.
- Conditions
- Intertrochanteric Femoral Fracture
- Being tested
- Early weight bearing, Delayed mobilization
- Keywords
- Hip fracture, Dynamic hip screw, DHS fixation, Early weight bearing, Delayed mobilization, Postoperative rehabilitation
- Medical subject headings
- Hip Fractures
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Early weight bearingOther
Participants begin weight bearing within the first postoperative week following dynamic hip screw fixation of an intertrochanteric femoral fracture. Routine postoperative care and physiotherapy are provided.
Delayed mobilizationOther
Participants begin mobilization after the first postoperative week following dynamic hip screw fixation of an intertrochanteric femoral fracture. Routine postoperative care and physiotherapy are provided.
| Study group | Role | What they receive |
|---|---|---|
| Early Weight Bearing | Experimental | Participants undergo dynamic hip screw fixation for an intertrochanteric femoral fracture and begin weight bearing within the first postoperative week. They receive routine postoperative care, including antibiotics, analgesia, thromboprophylaxis, wound care, and physiotherapy. Functional recovery is assessed using the Modified Harris Hip Score at six weeks and three months after surgery. Receives: Other: Early weight bearing |
| Delayed Mobilization | Active comparator | Participants undergo dynamic hip screw fixation for an intertrochanteric femoral fracture and begin mobilization after the first postoperative week. They receive routine postoperative care, including antibiotics, analgesia, thromboprophylaxis, wound care, and physiotherapy. Functional recovery is assessed using the Modified Harris Hip Score at six weeks and three months after surgery. Receives: Other: Delayed mobilization |
What is being measured
The primary outcome is the main question the study is designed to answer.
Modified Harris Hip Score
Functional status assessed using the Modified Harris Hip Score, which evaluates hip pain and function, including walking ability and activities of daily living. Scores range from 0 to 100, with higher scores indicating better hip function. Scores are compared between the early weight-bearing and delayed-mobilization groups at each assessment.
Measured: Six weeks and three months after surgery.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Oct 2026
- Study start9 Apr 2026
- Primary completion8 Oct 2026
- Study completion8 Oct 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Intertrochanteric Femoral FractureStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Participants are assigned in a 1:1 ratio using blocked randomization to two parallel groups following dynamic hip screw fixation. Group A begins early weight bearing within the first postoperative week. Group B delays mobilization until after the first postoperative week. Both groups receive routine postoperative care and physiotherapy.
- Masking
- None (open label)
- Enrolment
- 90 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hayat Abad Medical Complex, Peshawar
- Sponsor type
- Other government
- Responsible party
- Principal investigator, Zarar Ahmed, Hayat Abad Medical Complex, Peshawar
- Investigators
- Noor Rahman, FCPS, Study chair, Hayat Abad Medical Complex, Peshawar
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07874477
- Sponsor's protocol ID
- 19
- Status last verified
- Oct 2026
- First submitted
- 8 Oct 2026
- Last updated
- 20 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 20 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Outcomes of DHS Fixation for Extra Capsular Fractures of Proximal Femur in Geriatric Population
- ClinicalTrials.gov ID
- NCT07874477
- Acronym / sponsor ID
- 19
- Conditions
- Intertrochanteric Femoral Fracture
- Keywords
- Hip fracture, Dynamic hip screw, DHS fixation, Early weight bearing, Delayed mobilization, Postoperative rehabilitation
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 90 participants (actual)
- Lead sponsor
- Hayat Abad Medical Complex, PeshawarOther government
- Study start
- 9 Apr 2026 (actual)
- Primary completion
- 8 Oct 2026 (actual)
- Study completion
- 8 Oct 2026 (actual)
- First posted
- 15 Oct 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study compares two approaches to starting walking and weight bearing after surgery for a fracture near the hip in older adults. All participants undergo fixation with a dynamic hip screw, a metal implant that holds the broken bone in position while it heals.
Ninety participants are randomly assigned to two equal groups. One group starts weight bearing during the first week after surgery. The other group delays mobilization until after the first week. Both groups receive routine postoperative care and physiotherapy.
The study aims to determine whether earlier weight bearing improves pain, walking ability, and everyday activities. Recovery is assessed using the Modified Harris Hip Score at six weeks and three months after surgery. Postoperative complications are also recorded.
Detailed description
This single-center, randomized controlled trial is conducted in the Department of Orthopaedics and Spine Surgery at Hayatabad Medical Complex, Peshawar, Pakistan. It compares early weight bearing with delayed mobilization following dynamic hip screw fixation of intertrochanteric femoral fractures in older adults.
Ninety participants are assigned in a 1:1 ratio using blocked randomization. The early weight-bearing group begins weight bearing within the first postoperative week, while the delayed-mobilization group begins mobilization after the first postoperative week.
Both groups undergo closed fracture reduction under fluoroscopic guidance followed by fixation with a dynamic hip screw and side plate through a lateral approach. Routine postoperative care includes antibiotics, analgesia, thromboprophylaxis, wound care, and physiotherapy. The planned difference between groups is the timing of postoperative weight bearing and mobilization.
Functional recovery is assessed at six weeks and three months using the Modified Harris Hip Score, which evaluates pain, walking, and activities of daily living. Postoperative complications are recorded during follow-up.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Participants are assigned in a 1:1 ratio using blocked randomization to two parallel groups following dynamic hip screw fixation. Group A begins early weight bearing within the first postoperative week. Group B delays mobilization until after the first postoperative week. Both groups receive routine postoperative care and physiotherapy.
| Arm | Type | Receives |
|---|---|---|
| Early Weight Bearing | Experimental | Other: Early weight bearingParticipants undergo dynamic hip screw fixation for an intertrochanteric femoral fracture and begin weight bearing within the first postoperative week. They receive routine postoperative care, including antibiotics, analgesia, thromboprophylaxis, wound care, and physiotherapy. Functional recovery is assessed using the Modified Harris Hip Score at six weeks and three months after surgery. |
| Delayed Mobilization | Active comparator | Other: Delayed mobilizationParticipants undergo dynamic hip screw fixation for an intertrochanteric femoral fracture and begin mobilization after the first postoperative week. They receive routine postoperative care, including antibiotics, analgesia, thromboprophylaxis, wound care, and physiotherapy. Functional recovery is assessed using the Modified Harris Hip Score at six weeks and three months after surgery. |
Who may qualify
- Ages
- 60 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Age within the eligibility range specified in the approved protocol.
- Male or female.
- Radiologically confirmed intertrochanteric femoral fracture.
- Undergoing dynamic hip screw fixation.
Key exclusion criteria (5 listed)
- Pre-existing contractures.
- Open fractures.
- Pathological fractures.
- Polytrauma.
- Associated neurovascular injuries.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Early weight bearingParticipants begin weight bearing within the first postoperative week following dynamic hip screw fixation of an intertrochanteric femoral fracture. Routine postoperative care and physiotherapy are provided. | Other | Early Weight Bearing |
| Delayed mobilizationParticipants begin mobilization after the first postoperative week following dynamic hip screw fixation of an intertrochanteric femoral fracture. Routine postoperative care and physiotherapy are provided. | Other | Delayed Mobilization |
Primary outcome
Modified Harris Hip Score
Time frame: Six weeks and three months after surgery.
Functional status assessed using the Modified Harris Hip Score, which evaluates hip pain and function, including walking ability and activities of daily living. Scores range from 0 to 100, with higher scores indicating better hip function. Scores are compared between the early weight-bearing and delayed-mobilization groups at each assessment.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Oct 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Noor Rahman, FCPS study chair
Hayat Abad Medical Complex, Peshawar
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Early weight bearing and Delayed mobilization in people with Intertrochanteric Femoral Fracture, run by Hayat Abad Medical Complex, Peshawar at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 20 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Modified Harris Hip Score (time frame: Six weeks and three months after surgery.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Oct 2026.