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Hemiarthroplasty is a well established treatment of Femoral Neck Fractures in the Elderly. During the last decade the use of Minimal Invasive Surgical( MIS) approaches have been increasing. Our hypothesis is that Patients with a Femoral Neck Fracture may benefit from a MIS approach.
The study's main objective: The purpose of the study is to test the following hypothesis. Patients 70 to 90 years with a displaced femoral neck fracture, operated with a hemiarthroplasty through an anterolateral approach, have less pain and better patient satisfaction as measured by PROMs than patients operated through the lateral approach.
The study's subsidiary objectives. We aim to shed light on the following subsidiary hypotheses.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Anterolateral Approach | Active Comparator | Patient Operated with Watson Jones Approach |
|
| Trans-gluteal Approach | Active Comparator | Patient operated with Trans-gluteal Hardinge Approach |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| hemiarthroplasty | Procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analogue Scale Pain and Patient Satisfaction | Pre and postoperative, 3 and 12 Months |
| Measure | Description | Time Frame |
|---|---|---|
| Timed up and go | TUG test- Timed up and Go | postoperative, 3 and 12 Monthes |
| Harris Hip Score | Pre / Postoperative, 3 and 12 Months | |
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Inclusion Criteria: Patients 70- 85 Years of Age -
Exclusion Criteria:
Dementia, Infection Not Suitable for Hemiarthroplasty
-
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| Name | Affiliation | Role |
|---|---|---|
| Lars Nordsletten, Professor | University of Oslo Ullevål | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sorlandet Hospital | Kristiansand | 4604 | Norway |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29789919 | Derived | Ugland TO, Haugeberg G, Svenningsen S, Ugland SH, Berg OH, Pripp AH, Nordsletten L. Biomarkers of muscle damage increased in anterolateral compared to direct lateral approach to the hip in hemiarthroplasty: no correlation with clinical outcome : Short-term analysis of secondary outcomes from a randomized clinical trial in patients with a displaced femoral neck fracture. Osteoporos Int. 2018 Aug;29(8):1853-1860. doi: 10.1007/s00198-018-4557-y. Epub 2018 May 22. |
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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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| ID | Term |
|---|---|
| D062785 | Hemiarthroplasty |
| ID | Term |
|---|---|
| D019643 | Arthroplasty, Replacement |
| D001178 | Arthroplasty |
| D019637 | Orthopedic Procedures |
| D013514 | Surgical Procedures, Operative |
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| Hip Osteoarthritis Disability Score |
| Postoperative, 3 and 12 Months |
| EuroQol | Postoperative, 3 and 12 Months |
| D025981 |
| Hip Injuries |
| D007869 | Leg Injuries |
| D019651 | Plastic Surgery Procedures |
| D019919 | Prosthesis Implantation |