Comparing implants to keep femoral neck fractures steady in adults under 65
Official title: Evaluation of Femoral Neck Fracture Migration After Internal Fixation With an Angle Stable Implant Compared With Gold Standard Cannulated Cancellous Screws in Young Adults: Study Protocol for a Clinical RCT Using Radiostereometric Analysis
Run by Odense University Hospital · NCT06521671 · Data updated 2026-11-12
We will test whether a new angle-stable implant (Dynaloc) keeps femoral neck fractures steadier than cancellous screws or a sliding hip screw in adults aged 18–64.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 75 (estimated) |
| Sponsor | Odense University Hospital Academic / other |
| Locations | 4 sites (Aarhus and 3 other locations) |
| Status | Recruiting |
| Started | June 16, 2025 |
| Main results expected | December 2027 |
| Study ends | December 2028 |
| Registry record updated | January 27, 2026 |
| Trial ID | NCT06521671 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–64 with an acute femoral neck fracture who are eligible for internal fixation, able to read and speak Danish, and able to give informed consent are ideal candidates.
✕Probably not a fit
Patients older than 64, those with pathological, basicervical or transcervical fractures, significant frailty (Clinical Frailty Scale ≥5), major comorbidities preventing fixation, or cognitive impairment are unlikely to benefit from enrollment.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a multicentre, single-blinded randomized trial using radiostereometric analysis (RSA) to measure how much femoral neck fractures move after internal fixation. Eligible patients under 65 are randomized to receive either the Dynaloc angle-stable implant or cannulated cancellous screws, while a separate prospective cohort treated with a sliding hip screw is followed with the same protocol. Fracture migration is the primary outcome, and the study also records complications and tracks pain, hip function, and health-related quality of life at 6 weeks, 12 weeks, 6 months, and 12 months. All procedures follow manufacturers' instructions and are performed at participating Danish hospitals.
Why it matters
Potential benefit: If successful, the Dynaloc implant could reduce fracture displacement and lower the risk of fixation failure and reoperation for younger patients with femoral neck fractures.
How similar studies have gone: RSA has been used successfully in prior studies to detect small differences in implant stability, and while cancellous screws and sliding hip screws are well-studied, randomized data specifically comparing Dynaloc to cannulated cancellous screws are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Femoral neck fracture (DS720) * Age 18-64 years * Ability to speak and read Danish * Willingness to participate Exclusion Criteria: * Pathological, basicervical or transcervical fracture * Clinical Frailty Scale ≥5, indicating mild to severe frailty prior to the fracture * Cognitive impairment that hinders informed consent * Previous fracture in the ipsilateral femur * Patients who are unwilling or incapable of following post-operative care instructions. * Comorbidities making the participant ineligible for internal fixation such as: * Material sensitivity, documented or suspected * Active or suspected latent infection, sepsis or marked local inflammation in or around the surgical area * Compromised vascularity, inadequate skin or neurovascular status * Compromised bone stock that cannot provide adequate support and/or fixation of the device due to disease, infection or prior implantation * Other physical, mental, medical or surgical conditions that would preclude the potential benefit of surgery.
Where it's running
-
Aarhus University Hospital
Aarhus, Denmark Recruiting -
Regional Hospital Gødstrup
Gødstrup, Denmark Recruiting -
Odense University Hospital
Odense, Denmark Recruiting -
Hvidovre Hospital
Hvidovre, Denmark Not yet recruiting
Study contacts
- Study coordinator: Michaela Manalili Hansen, MD
- Email: michaela.manalili.hansen@rsyd.dk
- Phone: +4560808836
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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.