Clinical Trial: Hemiarthroplasty or Internal Fixation for Displaced Femoral Neck Fractures - 5 Years Follow up

Study Status: Completed
Recruit Status: Completed
Study Type: Interventional

Official Title: Hemiarthroplasty or Internal Fixation for Displaced Femoral Neck Fractures - 5 Years Follow up

Brief Summary: 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, and better short term clinical results with arthroplasty, but knowledge about long term results is lacking.

Detailed Summary:

Patients were included from 2002-2004. Two years follow up was finished by 2006. Patients with displaced intracapsular femoral neck fractures were included and 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.


Sponsor: Ullevaal University Hospital

Current Primary Outcome: Harris Hip Score [ Time Frame: 5-6 years ]

Original Primary Outcome: Same as current

Current Secondary Outcome:

  • Eq-5d [ Time Frame: 5-6 years ]
  • Barthel Index [ Time Frame: 5-6 years ]
  • Reoperations and complications [ Time Frame: 5-6 years ]


Original Secondary Outcome: Same as current

Information By: Oslo University Hospital

Dates:
Date Received: September 29, 2008
Date Started: October 2002
Date Completion:
Last Updated: October 22, 2014
Last Verified: October 2014