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Surgical Approach in Hemiarthroplasty. A Randomized Clinical Trial Comparing Posterior and Anterior Approach
Sponsor: Sorlandet Hospital HF
Summary
Dislocated femoral neck fractures are routinely treated with cemented hemiartroplasty and the direct lateral approach (Hardinge) has commonly been used in Norway. The investigators have lately witnessed a significant change in the prefered surgical approaches in total hip arthroplasty (THA) in favor of the posterior and anterior approaches. The direct lateral approach has in THA, more or less, been abandoned in Norway. Numerous studies have reported superior results using the posterior and anterior approahes compared to the lateral approach.
Official title: Cemented Hemiarthroplasty in Femoral Neck Fractures; Are Clinical Results Affected by Surgical Approach. A Randomized Clinical Trial Comparing Posterior and Anterior Approach
Key Details
Gender
All
Age Range
70 Years - 90 Years
Study Type
INTERVENTIONAL
Enrollment
210
Start Date
2022-01-21
Completion Date
2025-10-01
Last Updated
2025-06-05
Healthy Volunteers
No
Interventions
Posterior SPAIRE approach, anterior approach
Based on power calculation a sub-group analysis of 50 patients will be examined with DXA, all patients for biochemical and clinical muscle damage (CK, CRP, TUG-test, Trendelenburg, strenght test)
Locations (2)
Sorlandet Hospital
Arendal, Norway
Sorlandet hospital
Kristiansand, Norway