Total Hip Arthroplasty Compared to Internal Fixation for Displaced Intracapsular Fractures of the Femoral Neck

Danderyd Hospital

Status: Completed

Conditions: Femoral Neck Fracture

Treatments: Procedure: Total hip arthroplasty; Procedure: Internal fixation

Study type: Interventional

Funder types: Other

Identifiers

NCT01344772

19902010

Details and patient eligibility

About

The primary aim of this study was to determine the Harris hip score as an evaluation of hip function, in mentally competent elderly patients (>65 years old) treated with either THR or IF, after contracting a displaced femoral neck fracture. The secondary aim was to compare the rate of reoperations and complications between the two groups.

Enrollment: 100 patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• Acute displaced femoral neck fracture Garden III or IV,
• Age over 65 years,
• Admission from their own home,
• No concurrent joint disease or previous fracture in the lower extremities,
• Healthy or controlled medical conditions without significant systemic effects (ASA 1-2),
• Harris hip score of 100
• Acceptance from the patient to participate in the study.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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100 participants in 2 patient groups

Internal fixation

Active Comparator group

Description:

Displaced femoral neck fracture treated with internal fixation using two parallel cannulated screws.

Treatment:

Procedure: Internal fixation

Total hip replacement

Active Comparator group

Description:

Displaced femoral neck fracture treated with total hip replacement through a posterior approach.

Treatment:

Procedure: Total hip arthroplasty