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

Not Applicable

Terminated

• Conditions: Femur Fracture
• Interventions: Procedure: anterolateral approach; Procedure: posterior approach

• Registration Number: NCT01484405
• Lead Sponsor: Florida Orthopaedic Institute

Brief Summary

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.

Detailed 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).

Study Timeline

• Study Start: 2010-06
• Study First Submitted: 2011-11-30
• Study First Submitted QC: 2011-12-01
• Study First Posted: 2011-12-02
• Primary Completion: 2013-11
• Study Completion: 2013-11
• Status Verified: 2014-11
• Last Update Submitted: 2014-11-10
• Last Update Posted: 2014-11-11

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 16

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
anterolateral approach	anterolateral approach	surgical intervention THA anterolateral approach
posterior approach	posterior approach	surgical intervention THA posterior approach

Primary Outcome Measures

Name	Time	Method
dislocation rates	12 months	Radiographic variables: AP and lateral views of hip and pelvis

Secondary Outcome Measures

Name	Time	Method
other complications	12 months	Hospital readmission, reoperation

Trial Locations

Locations (2)

Tampa general Hospital; 🇺🇸 Tampa, Florida, United States

St Josephs Hospital; 🇺🇸 Tampa, Florida, United States