Fixing the hip socket with plates and screws versus adding a hip replacement for older adults with a broken acetabulum

Is this trial a fit for you?

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 observational cohort of patients aged 60 and older with acute displaced acetabular fractures treated either with open reduction internal fixation (ORIF) alone or with ORIF plus a primary total hip arthroplasty (THA) at surgeon discretion. Enrolled participants are followed to 24 months with standard-of-care clinic visits at 6 weeks, 3, 6, 12, and 24 months. Outcomes include patient-reported measures (Oxford Hip Score, EQ-5D) and objective mobility testing (Timed Up & Go). The study aims to compare functional recovery, quality of life, and need for subsequent hip procedures between the two surgical strategies.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* 60 years of age or older
* Isolated and Displaced (more or equal to 2mm on any radiographic view) fracture of the acetabulum
* Patient requires surgical treatment, either THA+ORIF or ORIF surgeries
* Fracture is acute (within 3 weeks of injury)
* Patient was ambulatory (with or without walking aids) prior to their acetabular fracture injury
* Patient is able to provide informed consent to participation in the study
* Patient is able to read and understand English

Exclusion Criteria:

* Presence of an active or chronic infection around the fracture (soft tissue or bone)
* Open/compound fracture
* Bilateral acetabular fractures
* Pathological fracture excluding osteoporosis
* Periprosthetic fracture (previous arthroplasty or hardware or ORIF in-situ). Hardware (screws or plates or nails or hemi-arthroplasty) on the femoral side are not excluded.
* Medical or surgical contraindication to surgery
* Dementia

Where it's running

• Unity Health Toronto - St Michael's Hospital
  Toronto, Ontario, Canada Recruiting

Study contacts

• Principal investigator: Amir Khoshbin, MD — Unity Health Toronto
• Study coordinator: Cassandra Tardif-Theriault, BKin
• Email: cassandra.tardif-theriault@unityhealth.to
• Phone: 4168646060

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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.