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 type | Interventional |
|---|---|
| Ages | 75 Years and up |
| Sex | All |
| Enrollment | 1440 (estimated) |
| Sponsor | Uppsala University Academic / other |
| Locations | 25 sites (Uppsala, Uppsala County and 24 other locations) |
| Status | Recruiting |
| Started | September 16, 2019 |
| Main results expected | December 31, 2025 |
| Study ends | September 1, 2026 |
| Registry record updated | December 3, 2024 |
| Trial ID | NCT03966716 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
- Study coordinator: Wolf Olof, MD, PhD
- Email: olof.wolf@surgsci.uu.se
- Phone: +46186111707
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Comparing internal fixation and hip arthroplasty for hip fractures in elderly patients
This study is testing whether surgery to fix a hip fracture or replacing the hip altogether helps older patients feel less pain and move better after their injury.
-
Collarless Actis hip stem for cementless hip replacement in Asian patients
This study tests how well a collarless Actis hip stem works in adults undergoing primary hip replacement, focusing on outcomes over five years in an East Asian population.
-
Bone marrow injection at the femoral neck fracture site in young adults with intracapsular hip fractures
This study tests whether injecting the patient’s own bone marrow into a femoral neck fracture helps it heal faster and reduces avascular necrosis in adults aged 18–55 with certain fracture types.
-
Tipmed™ Primary Hip Prosthesis: 24-Month Post-Market Follow-Up in Adults
This PMCF study tests the safety and 24‑month performance of the Tipmed hip prosthesis in adults undergoing primary hip replacement.
-
Sacral ESPB versus PENG nerve block for pain after hip hemiarthroplasty
We will see if a sacral erector spinae plane (S-ESPB) block or a pericapsular nerve group (PENG) block gives better pain relief for adults 50–90 having hip hemiarthroplasty for a femoral neck fracture.
-
How ciprofol behaves and affects older adults having limb surgery under general anesthesia
This study tests whether ciprofol provides safe and effective anesthesia for older adults having elective limb surgery by measuring drug levels and clinical responses.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.