Which surgery restores mobility best after a knee fracture?
NCT ID NCT05792189
First seen Aug 14, 2026 · Last updated Aug 14, 2026
Summary
This study looks at two surgical options for fractures of the lower thigh bone near the knee: open reduction internal fixation (ORIF), which uses plates and screws, and distal femur replacement (DFR), which replaces the damaged bone with an artificial joint. The trial enrolls adults 55 and older with these fractures, including those with a previous knee replacement. Researchers will compare how well patients recover by measuring mobility with a timed walking test and knee function using a patient questionnaire. The goal is to find out which approach leads to better recovery and fewer complications.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Two surgical procedures: open reduction internal fixation (ORIF) and distal femur replacement (DFR)
- What this could lead to
- If this trial succeeds, it could help surgeons choose the best surgical method for distal femur fractures, potentially improving mobility and quality of life for patients.
- What could go wrong
- This is a non-randomized observational study, so results may be influenced by patient differences. Surgical risks include infection, implant failure, and complications from anesthesia.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2023
- Expected to finish
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Apr 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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55 to 100 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * English speaking patients * 55 years or older with Su Type II or Su Type III periprosthetic femur fractures or OTA/OA 33C or 338/3 native knee distal femur fracturing requiring surgical intervention and are medically fit to undergo surgical intervention Exclusion Criteria: * Patients with an active total knee prosthetic infection * Patients unable to undergo surgical intervention * Patient with an open fracture * Non-English-speaking patients * Oncologic/pathologic fracture * Poly-trauma patient (or other associated major orthopaedic injuries)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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UF & Shands Orthopaedics and Sports Medicine Institute
RECRUITINGGainesville, Florida, 32607, United States
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- Two implants better than one for broken thigh bone in seniors?