Clinical trial Recruiting at 1 site Interventional Ages 75 and up

Comparing internal fixation and hip arthroplasty for hip fractures in elderly patients

Official title: Internal Fixation Versus Hip Replacement in Older Adults with an Garden I/II Femoral Neck Fracture: Physical Function and Pain in Elderly Patients - a Substudy of the Hipsther Trial

Run by Uppsala University · NCT06152198 · Data updated 2026-11-12

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.

Quick facts

Study typeInterventional
Ages75 Years and up
SexAll
Enrollment340 (estimated)
SponsorUppsala University
Academic / other
Locations1 site (Uppsala)
StatusRecruiting
StartedJune 20, 2021
Main results expectedDecember 31, 2026
Study endsSeptember 1, 2027
Registry record updatedDecember 3, 2024
Trial IDNCT06152198 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are elderly patients over 75 years old with undisplaced or minimally displaced femoral neck fractures classified as Garden I or II.

Probably not a fit

Patients with pathological or stress fractures, peri-implant fractures, or those who cannot provide informed consent will 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 study investigates the effects of two surgical options, internal fixation and hip arthroplasty, on physical function and pain in elderly patients with undisplaced or minimally displaced femoral neck fractures. It is a substudy of the ongoing nationwide HipSTHeR registry-based randomized controlled trial, which aims to recruit 340 patients. Participants will be randomized to receive either treatment and will be followed up at 4 and 12 months post-surgery to assess their functional levels and pain. The study seeks to determine which surgical approach provides better outcomes for this patient population.

Why it matters

Potential benefit: If successful, this study could help identify the most effective surgical treatment for improving physical function and reducing pain in elderly patients with hip fractures.

How similar studies have gone: Other studies have explored similar surgical approaches for hip fractures, but this specific comparison is part of a novel ongoing registry-based trial.

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
* Included in the Hipsther trial

Exclusion Criteria:

* No informed consent
* Pathological or stress fracture
* Peri-implant fracture
* Previous inclusion of a contralateral Garden 1 or 2 femoral neck fracture

Where it's running

  • Olof Wolf
    Uppsala, Sweden
    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.