Anterior vs Posterior Approach for Hip Hemiarthroplasty

NCT04957251 | Active Not Recruiting DMC

• 1 other identifier: IRB 150819-1
• Study Type: interventional
• Target: 10
• Locations: 0 countries
• Sites: N/A

Brief Summary

Randomized trial to evaluate the role of the anterior vs posterior approach regarding hemiarthroplasty of the hip. The Investigators' hypothesis is that the muscle sparing anterior approach may result in improved function in the short term, which may allow shorter hospital stay and quicker return to prior level of function.

Conditions

Hip Fractures

Outcome Measures

Primary Outcomes (1)

• Functional outcomes

  Harris Hip Score. Score ranges from 0-100 The higher the HHS, the less dysfunction. A total score of \<70 is considered a poor result; 70-80 is considered fair, 80-90 is good, and 90-100 is an excellent result

  1 year

Study Arms (2)

Anterior approach

EXPERIMENTAL

Patient's undergoing an anterior approach to the hip

Procedure: anterior approach to the hip

Posterior Approach

ACTIVE COMPARATOR

Patient's undergoing an posterior approach to the hip

Procedure: posterior approach to the hip

Interventions

anterior approach to the hip PROCEDURE

anterior hip hemiarthroplasty

Anterior approach

posterior approach to the hip PROCEDURE

posterior hip hemiarthroplasty

Posterior Approach

Eligibility Criteria

• Age: 65 Years - 99 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Eligible patients will include all patients that were previously ambulatory at some level who sustain a displaced femoral neck fracture that given functional status, age, and comorbidities will require a hemi-arthroplasty for definitive treatment.
• Ages 65-99

You may not qualify if:

• Patients who will be excluded from the study are all patients who are non ambulatory at baseline.

Sponsors & Collaborators

• Mount Carmel Health System: lead

MeSH Terms

Conditions

Hip Fractures

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 23, 2018
• First Posted: July 12, 2021
• Study Start: September 28, 2015
• Primary Completion: October 1, 2025
• Study Completion: October 1, 2025
• Last Updated: June 6, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will share