Comparing surgical approaches for hip replacement in elderly patients with femoral neck fractures
Cemented Hemiarthroplasty in Femoral Neck Fractures; Are Clinical Results Affected by Surgical Approach. A Randomized Clinical Trial Comparing Posterior and Anterior Approach
NA · Sorlandet Hospital HF · NCT04900506
This study is testing whether two different surgical methods for hip replacement can help elderly patients with hip fractures recover better and have fewer complications.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 210 (estimated) |
| Ages | 70 Years to 90 Years |
| Sex | All |
| Sponsor | Sorlandet Hospital HF (other gov) |
| Locations | 2 sites (Arendal and 1 other locations) |
| Trial ID | NCT04900506 on ClinicalTrials.gov |
What this trial studies
This clinical trial investigates the effectiveness of two surgical approaches, posterior and anterior, for hemiarthroplasty in elderly patients with displaced femoral neck fractures. The study aims to determine which approach leads to better functional outcomes, reduced hospital stays, and lower rates of complications. By comparing these methods, the trial seeks to establish a preferred surgical technique that could enhance recovery and independence for patients. The research is conducted at Sorlandet Hospital in Norway, where the direct lateral approach has been commonly used despite reports of inferior results.
Who should consider this trial
Good fit: Ideal candidates are patients aged 70 to 90 years with displaced femoral neck fractures who were able to walk prior to their injury.
Not a fit: Patients with dementia, severe osteoarthritis, or other major injuries may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to improved recovery and quality of life for elderly patients undergoing hip replacement surgery.
How similar studies have performed: Previous randomized controlled trials have shown that alternative surgical approaches may yield better outcomes compared to the traditional lateral approach, indicating potential success for this study.
Eligibility criteria
Show full inclusion / exclusion criteria
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
Where this trial is running
Arendal and 1 other locations
- Sorlandet Hospital — Arendal, Norway (RECRUITING)
- Sorlandet hospital — Kristiansand, Norway (RECRUITING)
Study contacts
- Study coordinator: Stein H Ugland, MD
- Email: stein.havard.ugland@sshf.no/steinugland@gmail.com
- Phone: +4791626552
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Femoral Neck Fractures, Bone Mineral Density, Muscle Damage, Surgical Approach