Clinical trial Recruiting at 23 sites Interventional Ages 75 and up

Comparing hip screws and hip replacement for elderly patients with certain hip fractures

Official title: HipSTHeR - a Registerbased Randomized Controlled Trial - Hip Screws or (Total) Hip Replacement for Undisplaced Femoral Neck Fractures in Elderly Patients.

Run by Uppsala University · NCT03966716 · Data updated 2026-11-12

This study tests if hip replacement surgery can help older patients with certain hip fractures avoid needing more surgeries compared to traditional hip screws.

Quick facts

Study typeInterventional
Ages75 Years and up
SexAll
Enrollment1440 (estimated)
SponsorUppsala University
Academic / other
Locations25 sites (Uppsala, Uppsala County and 24 other locations)
StatusRecruiting
StartedSeptember 16, 2019
Main results expectedDecember 31, 2025
Study endsSeptember 1, 2026
Registry record updatedDecember 3, 2024
Trial IDNCT03966716 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are elderly patients aged 75 years and older with an undisplaced femoral neck fracture.

Probably not a fit

Patients with pathological or stress fractures, or those unable to provide informed consent, may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial investigates whether hip replacement surgery can reduce the need for reoperations compared to traditional internal fixation methods in elderly patients with undisplaced femoral neck fractures. Patients aged 75 and older will be randomly assigned to receive either internal fixation or arthroplasty, with the choice of hemi or total hip replacement left to the surgeon's discretion. The study will utilize data from the Swedish Fracture Register to assess outcomes, focusing on reoperation rates and mortality as primary endpoints.

Why it matters

Potential benefit: If successful, this study could lead to improved treatment strategies for elderly patients with hip fractures, potentially reducing the need for additional surgeries.

How similar studies have gone: Previous studies have explored similar surgical approaches, but this specific comparison of hip replacement versus internal fixation in this patient population is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Undisplaced (Garden I-II) femoral neck fracture (within 72h)
* treated at participating unit
* informed consent
* amenable for both treatment options

Exclusion Criteria:

* no informed consent
* pathological or stress fracture
* peri-implant fracture

Where it's running

  • Uppsala University Hospital
    Uppsala, Uppsala County, Sweden
    Recruiting
  • Alingsås Hospital
    Alingsås, Sweden
    Recruiting
  • Borås Hospital
    Borås, Sweden
    Recruiting
  • Falu Hospital
    Falun, Sweden
    Recruiting
  • Gävle Hospital
    Gävle, Sweden
    Recruiting
  • Sahlgrenska university Hospital
    Gothenburg, Sweden
    Recruiting
Show 19 more locations
  • Jönköping Hospital
    Jönköping, Sweden
    Recruiting
  • Kalmar Hospital
    Kalmar, Sweden
    Recruiting
  • Karlskrona Hospital
    Karlskrona, Sweden
    Recruiting
  • Kungälv Hospital
    Kungälv, Sweden
    Recruiting
  • Linköping University Hospital
    Linköping, Sweden
    Recruiting
  • Sunderby Hospital
    Luleå, Sweden
    Recruiting
  • Lycksele Hospital
    Lycksele, Sweden
    Recruiting
  • Skåne Universitetssjukhus
    Malmö, Sweden
    Recruiting
  • Mora Hospital
    Mora, Sweden
    Recruiting
  • Nyköping Hospital
    Nyköping, Sweden
    Recruiting
  • Skellefteå Hospital
    Skellefteå, Sweden
    Recruiting
  • Skövde Hospital
    Skövde, Sweden
    Recruiting
  • Danderyd Hospital
    Stockholm, Sweden
    Recruiting
  • Trollhättan Hospital
    Trollhättan, Sweden
    Recruiting
  • Umeå University Hospital
    Umeå, Sweden
    Recruiting
  • Västerås Hospital
    Västerås, Sweden
    Recruiting
  • Västervik Hospital
    Västervik, Sweden
    Recruiting
  • Norrtälje Hospital
    Norrtälje, Sweden
    Not yet recruiting
  • Stockholm South Hospital
    Stockholm, Sweden
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.