Active — Not RecruitingNot Applicable

Surgical Approach in Hemiarthroplasty. A Randomized Clinical Trial Comparing Posterior and Anterior Approach

Norway210 participantsStarted 2022-01-21

Plain-language summary

Dislocated femoral neck fractures are routinely treated with cemented hemiartroplasty and the direct lateral approach (Hardinge) has commonly been used in Norway. The investigators have lately witnessed a significant change in the prefered surgical approaches in total hip arthroplasty (THA) in favor of the posterior and anterior approaches. The direct lateral approach has in THA, more or less, been abandoned in Norway. Numerous studies have reported superior results using the posterior and anterior approahes compared to the lateral approach.

Who can participate

Age range70 Years – 90 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Patients between 70 and 90 years of age * Displaced FNF * Ability to walk with or without a walking aid prior to falling * Patients having Sorlandet Hospital as primary service provider for orthopaedic trauma * Provision of informed consent by patient or proxy * Low energy fracture (fall from standing height, no other major trauma) Exclusion Criteria: * Dementia * Fractures in pathologic bone * Patients not suited for HA (i.e., inflammatory arthritis, severe osteoarthritis) * Associated major injuries of the lower extremity ( i.e., ipsilateral or contralateral fractures of the foot, ankle, tibia, fibula or femur) * Retained hardware around the affected hip that will interfere with arthroplasty * Sepsis or local infection

What they're measuring

Harris Hip Score

Timeframe: 2 years

Trial details

NCT IDNCT04900506

SponsorSorlandet Hospital HF

Sponsor typeOTHER_GOV

Study typeINTERVENTIONAL

Primary completion2026-06-10

View on ClinicalTrials.gov More Femoral Neck Fractures trials