Femoral Neck Fracture
Conditions
Keywords
femoral neck fracture, total hip arthroplasty, internal fixation
Brief summary
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.
Interventions
PROCEDUREInternal fixation
Two cannulated screws are placed under x-ray guidance
PROCEDURETotal hip arthroplasty
A total hip arthroplasty is performed through a standard posterior approach
Sponsors
Danderyd Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Harris hip score | 17 years | HHS index score of 0 indicates the worst possible function of the hip and a value of 100 indicates full function. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Reoperations and complications | 17 years | IF group: nonunion, osteonecrosis, deep infection or fracture in the vicinity of the screws. Protruding screws or extraction of the screws when the fracture was healed was not defined as a complication. THR group: radiographic signs of loosening of the femoral- or acetabular component, dislocation, periprosthetic fracture or deep infection |
Countries
Sweden
Outcome results
None listed