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

Study Overview
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Brief Summary
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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 Description
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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: Two parallel screws (Olmed). 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.

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

Conditions
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Femoral Neck Fractures

Intervention / Treatment
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* Procedure: Bipolar hemiarthroplasty
* Procedure: Internal fixation


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Internal fixation<br>Closed reduction and internal fixation with two parallel screws (Olmed) | Procedure: Internal fixation<br>* Fluoroscopic Control. Percutaneous. FWB. Two parallel screws (Olmed)<br>* Other names: Olmed (DePuy);|
| Other: Bipolar hemiarthroplasty<br>Hemiarthroplasty with Charnley/ Hastings prosthesis | Procedure: Bipolar hemiarthroplasty<br>* Lateral approach. FWB.<br>* Other names: Charnley/Hastings;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Harris Hip Score |  | 5-6 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Eq-5d |  | 5-6 years | 
| Barthel Index |  | 5-6 years | 
| Reoperations and complications |  | 5-6 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Displaced Femoral Neck Fractures, Treatment, Function, Pain, Quality of life, Complications, Reoperations, Internal Fixation, Hemiarthroplasty, Activities of Daily Living