Hemiarthroplasty Compared to Total Hip Arthroplasty for Displaced Femoral Neck Fractures in the Elderly-elderly (HOPE)

Danderyd Hospital

Status: Unknown

Conditions: Femoral Neck Fractures

Treatments: Device: Cemented total hip arthroplasty; Device: Cemented hemiarthroplasty

Study type: Interventional

Funder types: Other

Identifiers

NCT02246335

HOPE

Details and patient eligibility

About

Total Hip Arthroplasty is equal to or better than Hemiarthroplasty in the treatment of displaced femoral neck fractures in the elderly-elderly

Full description

Total Hip Arthroplasty is equal to or better alternative to Hemiarthroplasty in the treatment of displaced femoral neck fractures in the elderly-elderly (patients 80 years and over).

Enrollment: 120 patients

Sex: All

Ages: 80+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Acute displaced femoral neck fracture of hip (Garden classification 3-4)
• Independent walker with or without walking aides
• Patient willing to participate in the study and give written consent.

Exclusion criteria

• Fracture older than 36 hours before admission
• Osteoarthritis in the fractured hip
• Rheumatoid arthritis in the fractured hip
• Pathological fractures
• Contraindication for hip arthroplasty surgery
• Not suitable for inclusion for other reasons e.g. substance abuse

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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120 participants in 2 patient groups

Control group

Active Comparator group

Description:

Hemiarthroplasty

Treatment:

Device: Cemented hemiarthroplasty

Treatment group

Active Comparator group

Description:

Total hip arthroplasty

Treatment:

Device: Cemented total hip arthroplasty