Anterolateral Versus Posterior Approach for Total Hip Arthroplasty After Displaced Femoral Neck Fracture (THA)

Florida Orthopaedic Institute

Status: Terminated

Conditions: Femur Fracture

Treatments: Procedure: anterolateral approach; Procedure: posterior approach

Study type: Interventional

Funder types: Other; NETWORK

Identifiers

NCT01484405

THA

Details and patient eligibility

About

There are two surgical approaches (incision types) used by surgeons who do total hip replacements. The purpose of this study is to determine which type of surgical approach (incision type) produces the best results for patients who have a total hip replacement.

Null Hypothesis : There is no difference in complication rate, functional outcome, surgical time, or blood loss when comparing outcomes in patients receiving THA to hemiarthroplasty or ORIF for femoral neck fractures.

Full description

Patients undergoing Total hip Arthroplasty following displaced femoral neck fracture, will be consented and randomized to one of two surgical approaches ( anterior or posterior).

Enrollment: 16 patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Displaced femoral neck fracture
• Age 65 years or older
• Acute, femoral neck fracture

Exclusion criteria

Cognitive impairment

• Active Infection
• Limited functional capacity (nursing home resident, non-ambulatory, severe cardiorespiratory disease)
• Limited life expectancy
• Pathologic fracture (tumor)
• Acetabular fractures

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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16 participants in 2 patient groups

anterolateral approach

Other group

Description:

surgical intervention THA anterolateral approach

Treatment:

Procedure: anterolateral approach

posterior approach

Other group

Description:

surgical intervention THA posterior approach

Treatment:

Procedure: posterior approach