Anterolateral Versus Posterior Approach for Total Hip Arthroplasty After Displaced Femoral Neck Fracture (THA)
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Purpose
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.
| Condition | Intervention |
|---|---|
|
Femur Fracture |
Procedure: posterior approach Procedure: anterolateral approach |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Anterolateral Versus Posterior Approach for Total Hip Arthroplasty After Displaced Femoral Neck Fracture |
- dislocation rates [ Time Frame: 12 months ] [ Designated as safety issue: No ]Radiographic variables: AP and lateral views of hip and pelvis
- other complications [ Time Frame: 12 months ] [ Designated as safety issue: No ]Hospital readmission, reoperation
| Estimated Enrollment: | 64 |
| Study Start Date: | June 2010 |
| Estimated Study Completion Date: | June 2013 |
| Estimated Primary Completion Date: | June 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
anterolateral approach
surgical intervention THA anterolateral approach
|
Procedure: anterolateral approach
anterolateral surgical approach
Other Name: Total hip Athroplasty following fracture
|
|
posterior approach
surgical intervention THA posterior approach
|
Procedure: posterior approach
Surgical approach for Total Hip Arthroplasty
Other Name: Total hip Athroplasty following fracture
|
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).
Eligibility| Ages Eligible for Study: | 65 Years and older |
| Genders Eligible for Study: | Both |
| Accepts 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
Contacts and Locations| United States, Florida | |
| Tampa general Hospital | Recruiting |
| Tampa, Florida, United States, 33606 | |
| Contact: Barbara Steverson, RN, MHA, 813-253-2068 bsteverson@floridaortho.com | |
| Contact: Mary Miller, RN 813 253 2068 mmiller@floridaortho.com | |
| Principal Investigator: D Watson, MD | |
| St Josephs Hospital | Recruiting |
| Tampa, Florida, United States, 33607 | |
| Contact: Barbara Steverson, RN, MHA 813-253-2068 bsteverson@floridaortho.com | |
| Contact: Mary Miller, RN 813-253-2068 mmiller@floridaortho.com | |
| Principal Investigator: | David Watson, MD | Florida Orthopaedic Institute |
More Information
No publications provided
| Responsible Party: | Florida Orthopaedic Institute |
| ClinicalTrials.gov Identifier: | NCT01484405 History of Changes |
| Other Study ID Numbers: | THA |
| Study First Received: | November 30, 2011 |
| Last Updated: | December 1, 2011 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Florida Orthopaedic Institute:
|
surgical approach for total hip arthroplasty |
Additional relevant MeSH terms:
|
Femoral Fractures Femoral Neck Fractures Fractures, Bone |
Wounds and Injuries Leg Injuries Hip Fractures |
ClinicalTrials.gov processed this record on May 22, 2013