Fracture Neck of Femur
Conditions
Brief summary
Bipolar hemiarthroplasty (BA) has long been the preferred treatment and is performed in most fracture neck of femur (FNF) cases. It is justified by the reasonable operative time, low blood loss and acceptable functional outcomes. The dual mobility cup total hip replacement (DMTHA) has emerged as a relevant alternative to BA. Since then, there is an on-going debate on the best implant to use. Age, co-morbidities, patient independence and potential surgical complications must be considered when deciding between implants. The risk of dislocation is a crucial factor because of its important consequences. The investigators evaluated the functional and mechanical outcomes of BA versus DMTHA in FNF in active elderly patients.
Interventions
PROCEDUREarthroplasty
arthroplasty for fracture neck of femur
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
60 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
* active patients * displaced fracture neck of femur * age from 60 to 80
Exclusion criteria
* ipsilateral previous hip surgery * grade 3 hip osteoarthritis according to tonnis classifiction * dysplastic acetabulum
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| functional outcome using the Harris hip score | 2 years | hip joint range of motion and activities of daily living |
| rate of dislocation | 2 years | postoperative prosthesis dislocation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| blood loss in cc | during the procedure | the amount of blood loss during the procedure |
| operative time in minutes | 45 minutes to 2 hours | the time needed to perform the procedure |
Countries
Egypt
Outcome results
None listed