Total Hip Arthroplasty Compared to Internal Fixation for Displaced Intracapsular Fractures of the Femoral Neck
|Femoral Neck Fracture||Procedure: Internal fixation Procedure: Total hip arthroplasty|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:||Total Hip Arthroplasty Compared to Internal Fixation for Displaced Intracapsular Fractures of the Femoral Neck. A Randomized, Controlled Trial With a Seventeen Year Follow-up|
- Harris hip score [ Time Frame: 17 years ]HHS index score of 0 indicates the worst possible function of the hip and a value of 100 indicates full function.
- Reoperations and complications [ Time Frame: 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
|Study Start Date:||February 1990|
|Study Completion Date:||June 2011|
|Primary Completion Date:||June 2010 (Final data collection date for primary outcome measure)|
Active Comparator: Internal fixation
Displaced femoral neck fracture treated with internal fixation using two parallel cannulated screws.
Procedure: Internal fixation
Two cannulated screws are placed under x-ray guidance
Active Comparator: Total hip replacement
Displaced femoral neck fracture treated with total hip replacement through a posterior approach.
Procedure: Total hip arthroplasty
A total hip arthroplasty is performed through a standard posterior approach
Please refer to this study by its ClinicalTrials.gov identifier: NCT01344772
|Stockholm, Sweden, 182 88|
|Principal Investigator:||Olof Sköldenberg, MD, PhD||Danderyd Hospital|