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Hemiarthroplasty or Internal Fixation for Displaced Femoral Neck Fractures

This study has been completed.
Information provided by:
Oslo University Hospital Identifier:
First received: April 20, 2007
Last updated: June 30, 2011
Last verified: April 2007
An estimated 1.6 million patients sustain a hip fracture every year, about half of these are intracapsular femoral neck fractures. A femoral neck fracture is a life changing event for any patient, and the risk of disability, increased dependence and death is substantial. The main treatment options for displaced femoral neck fractures are internal fixation and arthroplasty. It is established that there are more complications and reoperations after internal fixation, but there is no consensus about which procedure that gives best functional results.

Condition Intervention Phase
Femoral Neck Fractures Procedure: Bipolar hemiarthroplasty (Charnley/Hastings) Procedure: Internal fixation with two parallel screws (Olmed) Phase 4

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single
Primary Purpose: Treatment
Official Title: The Management of Intracapsular Fractures of the Proximal Femur. A Prospective, Randomized Trial of Two Parallel Screws and Hemiarthroplasty

Resource links provided by NLM:

Further study details as provided by Oslo University Hospital:

Primary Outcome Measures:
  • Harris Hip Score at 4, 12 and 24 months
  • Barthel ADL Index at 4, 12 and 24 months
  • Eq-5d (Euroqol) at 4, 12 and 24 months

Secondary Outcome Measures:
  • Mortality
  • Re-operations
  • Complications
  • Morbidity

Estimated Enrollment: 220
Study Start Date: September 2002
Study Completion Date: March 2006
Detailed Description:

We plan to include patients with displaced intracapsular femoral neck fractures. The patients will be randomized by means of closed numbered envelopes to operation groups:

  1. Two parallel screws (Olmed).
  2. Hemiarthroplasty with Charnley/ Hastings prosthesis. A priori one would expect that there would be less morbidity and mortality with the less extensive and quicker operation with parallel screw and that a faster and better rehabilitation would be achieved with hemiarthroplasty.

Ages Eligible for Study:   60 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Displaced femoral neck fracture
  • Age 60 or above
  • Able to walk (any aids allowed)

Exclusion Criteria:

  • Anesthesiologically unfit for arthroplasty surgery
  • Previous symptomatic hip pathology (i.e. arthritis)
  • Pathological fracture
  • Delay of more than 96 hours from injury to treatment
  • Not living in hospital area
  Contacts and Locations
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Please refer to this study by its identifier: NCT00464230

Orthopedic Center, Ulleval University Hospital
Oslo, Norway, 0408
Sponsors and Collaborators
Ullevaal University Hospital
Study Chair: Jan Erik Madsen, MD, PhD Orthopedic Center, Ulleval University Hospital
  More Information

Publications automatically indexed to this study by Identifier (NCT Number): Identifier: NCT00464230     History of Changes
Other Study ID Numbers: 12-2005-OS
Study First Received: April 20, 2007
Last Updated: June 30, 2011

Keywords provided by Oslo University Hospital:
Displaced Femoral Neck Fractures
Quality of life
Internal Fixation
Activities of Daily Living

Additional relevant MeSH terms:
Fractures, Bone
Femoral Neck Fractures
Wounds and Injuries
Hip Fractures
Femoral Fractures
Hip Injuries
Leg Injuries processed this record on August 21, 2017