Undisplaced Femoral Neck Fractures

NCT03392285 | Completed

• 1 other identifier: UFNF_IFvsHA
• Study Type: observational
• Target: 235
• Locations: 0 countries
• Sites: N/A

Brief Summary

Purpose The purpose of this study is to compare the clinical outcome and the rate of reoperations in a cohort of patients with undisplaced femoral neck fractures treated with internal fixation and patients with displaced femoral neck fractures treated with hip arthroplasty. Methods In a consecutive series of patients we compared the results of internal fixation for undisplaced femoral neck fractures with those of hip arthroplasty for displaced fractures (control group) of elderly patients. Risk of reoperation and patient reported hip function assessed with Harris hip score and WOMAC were used as outcome measurements.

Conditions

Hip Fractures; Femoral Neck Fractures; Undisplaced Fracture; Internal Fixation; Complications; Arthroplasty Complications

Outcome Measures

Primary Outcomes (1)

• Reoperation

  Reapportions are recorded and compared between the groups.

  4 years

Secondary Outcomes (3)

• Harris hip score

  1 year postoperatively

• WOMAC

  1 year postoperatively

• Pain in the operated hip

  1 year postoperatively

Study Arms (2)

Internal fixation

Patients above 65years old with an undisplaced femoral neck fractures treated with primary internal fixation with screws.

Device: Internal fixation or hip arthroplasty

Hip arthroplasty

Patients above 65years old with a displaced femoral neck fractures treated with primary hip arthroplasty.

Device: Internal fixation or hip arthroplasty

Interventions

Internal fixation or hip arthroplasty DEVICE

Patients treated according to the routine at the orthopedic department with screw fixation of an undisplayed femoral neck fracture or hip arthroplasty for a displaced femoral neck fracture.

Hip arthroplasty; Internal fixation

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

To evaluate the potential benefit of surgery with arthroplasty. All patients treated at Sundsvall hospital, Sweden for a displaced femoral neck fracture treated with hip arthroplasty or a undisplaced femoral neck fracture treated with internal fixation were included in a prospective cohort study.

You may qualify if:

• Above 65 years old Displaced femoral neck fracture treated with hip arthroplasty Undisplaced femoral neck fracture treated with internal fixation

You may not qualify if:

• Pathologic fracture

Sponsors & Collaborators

• Sundsvall Hospital: lead

Related Publications (6)

• Rogmark C, Flensburg L, Fredin H. Undisplaced femoral neck fractures--no problems? A consecutive study of 224 patients treated with internal fixation. Injury. 2009 Mar;40(3):274-6. doi: 10.1016/j.injury.2008.05.023. Epub 2008 Dec 13.

  PMID: 19070851 BACKGROUND

• Gjertsen JE, Dybvik E, Furnes O, Fevang JM, Havelin LI, Matre K, Engesaeter LB. Improved outcome after hip fracture surgery in Norway. Acta Orthop. 2017 Oct;88(5):505-511. doi: 10.1080/17453674.2017.1344456. Epub 2017 Jul 6.

  PMID: 28681677 BACKGROUND

• Han SK, Song HS, Kim R, Kang SH. Clinical results of treatment of garden type 1 and 2 femoral neck fractures in patients over 70-year old. Eur J Trauma Emerg Surg. 2016 Apr;42(2):191-6. doi: 10.1007/s00068-015-0528-6. Epub 2015 Apr 18.

  PMID: 26038046 BACKGROUND

• Chen WC, Yu SW, Tseng IC, Su JY, Tu YK, Chen WJ. Treatment of undisplaced femoral neck fractures in the elderly. J Trauma. 2005 May;58(5):1035-9; discussion 1039. doi: 10.1097/01.ta.0000169292.83048.17.

  PMID: 15920421 BACKGROUND

• Gjertsen JE, Fevang JM, Matre K, Vinje T, Engesaeter LB. Clinical outcome after undisplaced femoral neck fractures. Acta Orthop. 2011 Jun;82(3):268-74. doi: 10.3109/17453674.2011.588857.

  PMID: 21619501 BACKGROUND

• Mukka S, Sjoholm P, Aziz A, Eisler T, Kadum B, Krupic F, Morberg P, Sayed-Noor A. A cohort study comparing internal fixation for undisplaced versus hip arthroplasty for displaced femoral neck fracture in the elderly: a pilot study for a clinical trial. Pilot Feasibility Stud. 2020 Jul 11;6:98. doi: 10.1186/s40814-020-00642-w. eCollection 2020.

  PMID: 32670600 DERIVED

MeSH Terms

Conditions

Hip Fractures; Femoral Neck Fractures

Interventions

Fracture Fixation, Internal

Condition Hierarchy (Ancestors)

Femoral Fractures; Fractures, Bone; Wounds and Injuries; Hip Injuries; Leg Injuries

Intervention Hierarchy (Ancestors)

Fracture Fixation; Orthopedic Procedures; Therapeutics; Surgical Procedures, Operative

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 1, 2018
• First Posted: January 5, 2018
• Study Start: January 1, 2013
• Primary Completion: May 31, 2015
• Study Completion: December 31, 2017
• Last Updated: January 5, 2018

Record last verified: 2018-01

Data Sharing

• IPD Sharing: Will not share