Direct Anterior Approach for Femoral Neck Fractures

Helse Møre og Romsdal HF

Status: Completed

Conditions: Femoral Neck Fractures

Treatments: Procedure: Direct Lateral Approach; Procedure: Direct anterior approach

Study type: Interventional

Funder types: Other

Identifiers

NCT03695497

2018/935

Details and patient eligibility

About

The primary objective is to examine if in patients with a dislocated femoral neck fracture who receive a total hip arthroplasty, direct anterior approach will give a better result in terms of mobilization, function and pain in the first weeks and months postoperatively, than direct lateral approach.

Full description

first included patient 23th November 2018

Enrollment: 130 patients

Sex: All

Ages: 50+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Dislocated femoral neck fracture

Exclusion criteria

• Infection around the hip (soft tissue or bone)
• Pathologic fracture
• Excessive alcohol or substance abuse that most likely will give reduced compliance
• Patients with any fractures of the long bones in the lower extremity, fracture of the spine, and/or intra-thoracic or intra-abdominal injury (i.e., multiple trauma). Because the outcomes and clinical course of patients with multiple trauma may be quite different from a non-trauma patient.
• Bedridden patients/non-walkers
• Patients with an underlying illness that doesn't have life expectancy beyond six months
• In case of severe cognitive impairment where the patients are not able to give their informed consent

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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130 participants in 2 patient groups

Direct anterior approach

Experimental group

Description:

total hip arthroplasty with direct anterior approach

Treatment:

Procedure: Direct anterior approach

Direct Lateral Approach

Experimental group

Description:

total hip arthroplasty with direct lateral approach

Treatment:

Procedure: Direct Lateral Approach