Total Hip Arthroplasty Compared to Internal Fixation for Displaced Intracapsular Fractures of the Femoral Neck. A Randomized, Controlled Trial With a Seventeen Year Follow-up
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Harris hip score
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- 未提供
研究组 & 干预措施
Internal fixation
Displaced femoral neck fracture treated with internal fixation using two parallel cannulated screws.
干预措施: Internal fixation (Procedure)
Total hip replacement
Displaced femoral neck fracture treated with total hip replacement through a posterior approach.
干预措施: Total hip arthroplasty (Procedure)
结局指标
主要结局
Harris hip score
时间窗: 17 years
HHS index score of 0 indicates the worst possible function of the hip and a value of 100 indicates full function.
次要结局
- Reoperations and complications(17 years)
研究者
Olof Skoldenberg
Consulatant Orthopaedic Surgeon, PhD
Danderyd Hospital