Anterolateral Versus Posterior Approach for Total Hip Arthroplasty After Displaced Femoral Neck Fracture (THA)

This study has been terminated.
(Low enrollment.)
Orthopaedic Trauma Association
Information provided by (Responsible Party):
Florida Orthopaedic Institute Identifier:
First received: November 30, 2011
Last updated: November 10, 2014
Last verified: November 2014

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

Resource links provided by NLM:

Further study details as provided by Florida Orthopaedic Institute:

Primary Outcome Measures:
  • dislocation rates [ Time Frame: 12 months ] [ Designated as safety issue: No ]
    Radiographic variables: AP and lateral views of hip and pelvis

Secondary Outcome Measures:
  • other complications [ Time Frame: 12 months ] [ Designated as safety issue: No ]
    Hospital readmission, reoperation

Enrollment: 16
Study Start Date: June 2010
Study Completion Date: November 2013
Primary Completion Date: November 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).

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
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Please refer to this study by its identifier: NCT01484405

United States, Florida
Tampa general Hospital
Tampa, Florida, United States, 33606
St Josephs Hospital
Tampa, Florida, United States, 33607
Sponsors and Collaborators
Florida Orthopaedic Institute
Orthopaedic Trauma Association
Principal Investigator: David Watson, MD Florida Orthopaedic Institute
  More Information

Responsible Party: Florida Orthopaedic Institute Identifier: NCT01484405     History of Changes
Other Study ID Numbers: THA 
Study First Received: November 30, 2011
Last Updated: November 10, 2014
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
Hip Fractures
Hip Injuries
Leg Injuries
Wounds and Injuries processed this record on May 26, 2016