Femur Fracture
Conditions
Keywords
surgical approach for total hip arthroplasty
Brief summary
There are two surgical approaches (incision types) used by surgeons who do total hip replacements. The purpose of this study is to determine which type of surgical approach (incision type) produces the best results for patients who have a total hip replacement. Null Hypothesis : There is no difference in complication rate, functional outcome, surgical time, or blood loss when comparing outcomes in patients receiving THA to hemiarthroplasty or ORIF for femoral neck fractures.
Detailed description
Patients undergoing Total hip Arthroplasty following displaced femoral neck fracture, will be consented and randomized to one of two surgical approaches ( anterior or posterior).
Interventions
PROCEDUREposterior approach
Surgical approach for Total Hip Arthroplasty
PROCEDUREanterolateral approach
anterolateral surgical approach
Sponsors
Orthopaedic Trauma Association
Florida Orthopaedic Institute
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
* Displaced femoral neck fracture * Age 65 years or older * Acute, femoral neck fracture
Exclusion criteria
Cognitive impairment * Active Infection * Limited functional capacity (nursing home resident, non-ambulatory, severe cardiorespiratory disease) * Limited life expectancy * Pathologic fracture (tumor) * Acetabular fractures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| dislocation rates | 12 months | Radiographic variables: AP and lateral views of hip and pelvis |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| other complications | 12 months | Hospital readmission, reoperation |
Countries
United States
Outcome results
None listed