which is better approach in management of Femoral neck fracture through Hemiarthroplasty in elderly patient through Posterior or Direct Lateral approach

Direct Lateral (Modified Hardinge) Versus Posterior (Moore) approach for hemiarthroplasty for femoral neck fracture in elderly in terms of outcomes and complications : A Randomized Controlled Trial - NIL

Status

Active, not recruiting

Phases

Phase 2

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2024/07/071162

Enrollment

160

Registered

2024-07-23

Start date

Unknown

Completion date

Unknown

Last updated

2025-08-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: S720- Fracture of head and neck of femur

Interventions

Intervention1: Direct lateral (Modified hardinge): Hemireplacement arthroplasty will be done by Direct Lateral(Modified Hardinge) approach in which Gluteus medius with Vastus lateralis muscle is lifte

Eligibility

Inclusion criteria

Inclusion criteria: Patient with more than or equel to 60 years of age

Exclusion criteria

Exclusion criteria: Pre - existing severe degenerative joint disease Pre - existing arthritis of the fractured hip Any severe neurological / cognitive impairement Any patient with previous history of hip sepsis and hip surgery Pathological fracture neck of femur Fracture involving other extremitity / spine / pelvis or multiple organ system injury Patient / relative refused for consent

Design outcomes

Primary

Measure	Time frame
To compare the proportion of patient with post operative dislocation between Direct Lateral (Modified Hardinge) and Posterior (Moore) approach groups.Timepoint: 6 MONTHS	—

Secondary

Measure	Time frame
1.To compare the mean Modified Harris Hip score (HHS) between Direct Lateral (Modified Hardinge) & Posterior (Moore) approaches at 2 week, 1 month , 3 month & 6 month follow up. 2.To compare both the groups on the basis of surgical duration , blood loss , perioperative blood transfusion , postoperative pain. 3.To compare both the groups in terms of complications (Infection, Periprosthetic fracture, Limb length discrepancies & Abductor lurch).Timepoint: 6 MONTHS	—

Measure

Time frame

1.To compare the mean Modified Harris Hip score (HHS) between Direct Lateral (Modified Hardinge) & Posterior (Moore) approaches at 2 week, 1 month , 3 month & 6 month follow up. 2.To compare both the groups on the basis of surgical duration , blood loss , perioperative blood transfusion , postoperative pain. 3.To compare both the groups in terms of complications (Infection, Periprosthetic fracture, Limb length discrepancies & Abductor lurch).Timepoint: 6 MONTHS

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Countries

India

Contacts

Public ContactDR MAHESH BHATI

DR. S. N. MEDICAL COLLEGE JODHPUR

drmbhati5090@gmail.com9414127648

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026