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The purpose of this study is to determine whether the anterolateral in comparison to posterolateral approach to the hip arthroplasty gives an equal or better clinical results.
The purpose of this study is to compare the anterolateral- to posterolateral approaches in patients suffering a displaced femoral neck fracture operated with an hip arthroplasty. Our hypothesis is that the anterolateral approach gives equal or better clinical function, health related quality of life and less complication and reoperations.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Anterolateral approach | Active Comparator | Patients with a displaced femoral neck fracture operated through the anterolateral approach to the hip arthroplasty. Lubinus total hip arthroplasty or varikopf hemiarthroplasty. |
|
| Posterolateral approach | No Intervention | Patients with a displaced femoral neck fracture operated through the posterolateral approach to the hip arthroplasty. Lubinus total hip arthroplasty or varikopf hemiarthroplasty. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Anterolateral approach | Procedure | Anterolateral approach acording to Gammer for hip arthroplasty. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Womac | 1 year postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| EQ5D | 1 year postoperatively | |
| Harris Hip Score | 1 year postoperatively |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Arkan S Sayed-Noor | Umeå University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sundsvall Hospital | Sundsvall | Västernorrland County | 851 86 | Sweden | ||
| Department of orthopedic surgery Sundsvall Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 11302333 | Background | Ritter MA, Harty LD, Keating ME, Faris PM, Meding JB. A clinical comparison of the anterolateral and posterolateral approaches to the hip. Clin Orthop Relat Res. 2001 Apr;(385):95-9. doi: 10.1097/00003086-200104000-00016. | |
| 7075057 | Background | Gore DR, Murray MP, Sepic SB, Gardner GM. Anterolateral compared to posterior approach in total hip arthroplasty: differences in component positioning, hip strength, and hip motion. Clin Orthop Relat Res. 1982 May;(165):180-7. |
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Publication in an international peer-review journal.
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Publishing resultat in 2017
Open Access
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| ID | Term |
|---|---|
| D005265 | Femoral Neck Fractures |
| ID | Term |
|---|---|
| D006620 | Hip Fractures |
| D005264 | Femoral Fractures |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
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| Sundsvall |
| 851 86 |
| Sweden |
| 20860452 | Background | Skoldenberg O, Ekman A, Salemyr M, Boden H. Reduced dislocation rate after hip arthroplasty for femoral neck fractures when changing from posterolateral to anterolateral approach. Acta Orthop. 2010 Oct;81(5):583-7. doi: 10.3109/17453674.2010.519170. |
| D025981 |
| Hip Injuries |
| D007869 | Leg Injuries |