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
Sponsor study identifier
interventional
102
1 country
1
Study Start
October 12, 2026
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
Primary Completion
November 23, 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
January 12, 2028
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
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.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
January 12, 2028
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
October 10, 2026
Actual (reported)October 12, 2026
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
October 16, 2026
Actual (reported)November 23, 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
January 12, 2028
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Lateral Trochanteric Pain While Lying on the Operated Side at Week 6
Lateral trochanteric pain experienced while lying on the operated side during the preceding 7 days will be assessed using an 11-point Numeric Rating Scale (NRS), ranging from 0 (no pain) to 10 (worst imaginable pain). Lower scores indicate less pain. If the participant has not lain on the operated side during the preceding 7 days, no hypothetical NRS score will be assigned; the reason will be recorded separately.
Postoperative week 6
Lateral Trochanteric Pain During Daily Activities
Postoperative weeks 2, 4, and 6, and month 3
Lateral Trochanteric Pain While Lying on the Operated Side
Postoperative weeks 2, 4, and 6, and month 3
Greater Trochanter Tenderness on Palpation
Postoperative weeks 2, 4, and 6, and month 3
Cumulated Ambulation Score (CAS-TR)
Preoperative baseline (retrospective pre-fracture status), postoperative day 2, weeks 2, 4, and 6, and month 3
Modified Barthel Index
Preoperative baseline (retrospective pre-fracture status), postoperative weeks 2, 4, and 6, and month 3
Patients will undergo primary hip hemiarthroplasty through a posterior approach. The longitudinally opened trochanteric bursa will be anatomically repaired using three to four interrupted sutures with No. 1 Vicryl. The bursa will not be excised.
Patients will undergo primary hip hemiarthroplasty through a posterior approach. The longitudinally opened trochanteric bursa will be left unrepaired. The bursa will not be excised. All other surgical steps and postoperative care will follow the same protocol as the intervention group.
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.
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.
Istanbul Prof. Dr. Cemil Tascioglu City Hospital, Department of Orthopaedics and Traumatology
Istanbul, Istanbul, Turkey (Türkiye)
Abul MS, Sahiner D, Sevim OF, Hekim O, Ergun S, Eceviz E. The impact of bursa repair and steroid injection on lateral trochanteric pain following total hip arthroplasty: a retrospective cohort study. Acta Orthop Traumatol Turc. 2025 Jul 18;59(4):195-200. doi: 10.5152/j.aott.2025.25271.
Teng WH, Ditta A, Webber J, Pearce O. Excision of trochanteric bursa during total hip replacement: Does it reduce the incidence of post-operative trochanteric bursitis? World J Orthop. 2023 Jul 18;14(7):533-539. doi: 10.5312/wjo.v14.i7.533. eCollection 2023 Jul 18.
Ersin Taşatan, MD
Istanbul Prof. Dr. Cemil Tascioglu City Hospital, Department of Orthopaedics and Traumatology
First Submitted
October 10, 2026
First Posted
October 16, 2026
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Chalidis BE, Sachinis NP, Hawdon G, McMahon S. Lateral trochanteric bursa repair improves early hip function after posterior approach total hip arthroplasty: a prospective randomized control trial. Arthroplasty. 2022 Jun 6;4(1):26. doi: 10.1186/s42836-022-00127-6.
Study Start
October 12, 2026
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
Primary Completion
November 23, 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
January 12, 2028
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Last Updated
October 16, 2026
Record last verified: 2026-10
After study completion and publication of the main results, de-identified study data, the data dictionary, and relevant analysis documents may be shared in response to scientifically appropriate, justified requests reviewed by the principal investigator. Sharing is conditional on ethics committee decisions, applicable personal data protection requirements, and institutional permission. Direct identifiers and information that could identify participants will not be shared.
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Source: ClinicalTrials.gov.
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