Functional Outcome After Dual Mobility Cups Total Hip Replacement Versus Bipolar Hemiarthroplasty in Fracture Neck of Femur in Active Elderly Patients
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Ain Shams University
- Enrollment
- 33
- Locations
- 1
- Primary Endpoint
- functional outcome using the Harris hip score
Study Overview
Brief Summary
Bipolar hemiarthroplasty (BA) has long been the preferred treatment and is performed in most fracture neck of femur (FNF) cases. It is justified by the reasonable operative time, low blood loss and acceptable functional outcomes. The dual mobility cup total hip replacement (DMTHA) has emerged as a relevant alternative to BA. Since then, there is an on-going debate on the best implant to use. Age, co-morbidities, patient independence and potential surgical complications must be considered when deciding between implants. The risk of dislocation is a crucial factor because of its important consequences. The investigators evaluated the functional and mechanical outcomes of BA versus DMTHA in FNF in active elderly patients.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 60 Years to 80 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •active patients
- •displaced fracture neck of femur
- •age from 60 to 80
Exclusion Criteria
- •ipsilateral previous hip surgery
- •grade 3 hip osteoarthritis according to tonnis classifiction
- •dysplastic acetabulum
Arms & Interventions
Bipolar hemiarthroplasty group
Intervention: arthroplasty (Procedure)
Dual mobility cups total hip replacement group
Intervention: arthroplasty (Procedure)
Outcomes
Primary Outcomes
functional outcome using the Harris hip score
Time Frame: 2 years
hip joint range of motion and activities of daily living
rate of dislocation
Time Frame: 2 years
postoperative prosthesis dislocation
Secondary Outcomes
- operative time in minutes(45 minutes to 2 hours)
- blood loss in cc(during the procedure)
Investigators
Tony Maher
Assistant lecturer
Ain Shams University
