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Bipolar hemiarthroplasty (BA) has long been the preferred treatment and is performed in most fracture neck of femur (FNF) cases. It is justified by the reasonable operative time, low blood loss and acceptable functional outcomes. The dual mobility cup total hip replacement (DMTHA) has emerged as a relevant alternative to BA. Since then, there is an on-going debate on the best implant to use. Age, co-morbidities, patient independence and potential surgical complications must be considered when deciding between implants. The risk of dislocation is a crucial factor because of its important consequences. The investigators evaluated the functional and mechanical outcomes of BA versus DMTHA in FNF in active elderly patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Bipolar hemiarthroplasty group | Active Comparator |
| |
| Dual mobility cups total hip replacement group | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| arthroplasty | Procedure | arthroplasty for fracture neck of femur |
|
| Measure | Description | Time Frame |
|---|---|---|
| functional outcome using the Harris hip score | hip joint range of motion and activities of daily living | 2 years |
| rate of dislocation | postoperative prosthesis dislocation | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| operative time in minutes | the time needed to perform the procedure | 45 minutes to 2 hours |
| blood loss in cc | the amount of blood loss during the procedure |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ibrahim M Ganzoury, professor | Faculty of Medicine Ain Shams university | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ain Shams university hospitals | Cairo | Egypt |
demographic data and radiographs
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Sep 4, 2018 | Dec 17, 2020 | Prot_SAP_000.pdf |
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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 |
|---|---|
| D001178 | Arthroplasty |
| ID | Term |
|---|---|
| D019637 | Orthopedic Procedures |
| D013514 | Surgical Procedures, Operative |
| D019651 | Plastic Surgery Procedures |
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| during the procedure |
| D025981 |
| Hip Injuries |
| D007869 | Leg Injuries |