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NCT07878143

Trochanteric Bursa Repair and Lateral Hip Pain After Hemiarthroplasty for Femoral Neck Fracture

Sponsor: Osman Sarıyar

View on ClinicalTrials.gov

Summary

This study aims to determine whether repairing the trochanteric bursa during hip hemiarthroplasty reduces lateral hip pain after surgery in patients aged 65 years and older with femoral neck fractures. The trochanteric bursa is a soft tissue structure located over the greater trochanter of the femur. During surgery, this tissue may be opened to access the hip. At the end of the procedure, the bursa can either be repaired or left unrepaired. A total of 102 patients will be randomly assigned to two groups. In one group, the bursa will be repaired using sutures. In the other group, it will be left unrepaired. All other aspects of surgical treatment and postoperative care will follow the same routine clinical approach. The main outcome is lateral hip pain when lying on the operated side at six weeks after surgery, measured using a numerical pain scale from 0 (no pain) to 10 (worst imaginable pain). Additional assessments will examine pain during daily activities, mobility, independence in daily living, and complications during the first three months after surgery.

Official title: Effect of Trochanteric Bursa Repair on Early Lateral Hip Pain in Patients Undergoing Hemiarthroplasty for Femoral Neck Fracture: A Prospective Randomized Assessor-Blinded Controlled Trial

Key Details

Gender

All

Age Range

65 Years - Any

Study Type

INTERVENTIONAL

Enrollment

102

Start Date

2026-10-12

Completion Date

2028-01-12

Last Updated

2026-10-16

Healthy Volunteers

Conditions

Femoral Neck Fracture

Interventions

PROCEDURE

Trochanteric Bursa Repair

Patients will undergo primary hip hemiarthroplasty through a posterior approach. After longitudinal incision of the trochanteric bursa, the bursa will be anatomically repaired using three to four interrupted No. 1 Vicryl sutures. The bursa will not be excised. Capsular and short external rotator repairs will be performed according to the same standard surgical protocol in both groups.

PROCEDURE

Trochanteric Bursa Left Unrepaired

Patients will undergo primary hip hemiarthroplasty through a posterior approach. After longitudinal incision, the trochanteric bursa will be left unrepaired without excision. All other surgical procedures, postoperative analgesia, mobilization, and rehabilitation will follow the same protocol as the bursa repair group.

Inclusion Criteria: * Age 65 years or older. * Acute unilateral intracapsular femoral neck fracture. * Primary hip hemiarthroplasty planned through a posterior approach. * Sufficient capacity to decide on participation and provide personal written informed consent. * Ability to understand and reliably use the 0-10 Numeric Rating Scale (NRS). * Intraoperative confirmation, before allocation is revealed, that the trochanteric bursa has sufficient tissue integrity and edges that can be approximated for primary anatomical repair. Exclusion Criteria: * Intertrochanteric, pertrochanteric, subtrochanteric, or pathological fracture. * Revision hemiarthroplasty or salvage hemiarthroplasty after failed internal fixation. * Previous surgery on the affected hip. * Clinically significant recurrent or persistent ipsilateral lateral trochanteric pain, greater trochanteric pain syndrome, or trochanteric bursitis during the preceding 6 months. A single brief, clinically insignificant episode of nonspecific pain is not sufficient for exclusion. * Therapeutic injection into the affected hip joint, trochanteric bursa, or peritrochanteric soft tissues during the preceding 6 months. * Active local infection. * Major concomitant lower-extremity injury that independently and severely impairs mobilization. * Inability to provide valid personal written informed consent or reliably use the NRS. * Trochanteric bursal tissue unsuitable for primary repair because of major tissue loss, severe fragmentation, or loss of integrity preventing primary approximation; these patients will not be randomized. No automatic exclusion threshold is applied to the Standardized Mini-Mental Test. Dementia or cognitive impairment alone is not an exclusion criterion if personal informed consent and reliable NRS assessment are possible. A patient who cannot be assessed because of acute delirium may be reassessed if clinically improved before surgery. Proxy consent does not replace the patient's personal consent.

Locations (1)

Istanbul Prof. Dr. Cemil Tascioglu City Hospital, Department of Orthopaedics and Traumatology

Istanbul, Istanbul, Turkey (Türkiye)