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Clinical Trials/NCT00764153
NCT00764153
Completed
Not Applicable

Hemiarthroplasty or Internal Fixation for Displaced Femoral Neck Fractures - 5 Years Follow up

Ullevaal University Hospital0 sites222 target enrollmentOctober 2002

Overview

Phase
Not Applicable
Intervention
Not specified
Conditions
Femoral Neck Fractures
Sponsor
Ullevaal University Hospital
Enrollment
222
Primary Endpoint
Harris Hip Score
Status
Completed
Last Updated
11 years ago

Overview

Brief Summary

An estimated 1.6 million patients sustain a hip fracture every year, about half of these are intracapsular femoral neck fractures. A femoral neck fracture is a life changing event for any patient, and the risk of disability, increased dependence and death is substantial. The main treatment options for displaced femoral neck fractures are internal fixation and arthroplasty. It is established that there are more complications and reoperations after internal fixation, and better short term clinical results with arthroplasty, but knowledge about long term results is lacking.

Detailed Description

Patients were included from 2002-2004. Two years follow up was finished by 2006. Patients with displaced intracapsular femoral neck fractures were included and randomized by means of closed numbered envelopes to operation groups: 1. Two parallel screws (Olmed). 2. Hemiarthroplasty with Charnley/ Hastings prosthesis. A priori one would expect that there would be less morbidity and mortality with the less extensive and quicker operation with parallel screw and that a faster and better rehabilitation would be achieved with hemiarthroplasty.

Registry
clinicaltrials.gov
Start Date
October 2002
End Date
December 2011
Last Updated
11 years ago
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Sponsor
Ullevaal University Hospital
Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Displaced femoral neck fracture
  • Age 60 or above
  • Able to walk (any aids allowed)

Exclusion Criteria

  • Anesthesiologically unfit for arthroplasty surgery
  • Previous symptomatic hip pathology (i.e. arthritis)
  • Pathological fracture
  • Delay of more than 96 hours from injury to treatment
  • Not living in hospital area

Outcomes

Primary Outcomes

Harris Hip Score

Time Frame: 5-6 years

Secondary Outcomes

  • Eq-5d(5-6 years)
  • Reoperations and complications(5-6 years)
  • Barthel Index(5-6 years)

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