RecruitingNot ApplicableNCT03966716

Hips Screws or (Total) Hip Replacement for Undisplaced Femoral Neck Fractures in Elderly Patients (HipSTHeR)

HipSTHeR - a Registerbased Randomized Controlled Trial - Hip Screws or (Total) Hip Replacement for Undisplaced Femoral Neck Fractures in Elderly Patients.


Sponsor

Uppsala University

Enrollment

1,440 participants

Start Date

Sep 16, 2019

Study Type

INTERVENTIONAL

Conditions

Summary

A registerbased RCT will investigate whether arthroplasty can decrease the reoperation rate compared to internal fixation for patients with an undisplaced femoral neck fracture (Garden I-II).


Eligibility

Min Age: 75 Years

Inclusion Criteria4

  • Undisplaced (Garden I-II) femoral neck fracture (within 72h)
  • treated at participating unit
  • informed consent
  • amenable for both treatment options

Exclusion Criteria3

  • no informed consent
  • pathological or stress fracture
  • peri-implant fracture

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Interventions

DEVICEArthroplasty

Patients with an undisplaced femoral neck fracture receive a hemi or total hip arthroplasty depending on each hospital's routine for patient age and mobility.

DEVICEInternal Fixation

Patients with an undisplaced femoral neck fracture undergo a closed reduction and internal fixation with 2-3 screws or pins, or sliding hip screw device. Type of fixation depends on each hospital's routine.


Locations(25)

Uppsala University Hospital

Uppsala, Uppsala County, Sweden

Alingsås Hospital

Alingsås, Sweden

Borås Hospital

Borås, Sweden

Falu Hospital

Falun, Sweden

Gävle Hospital

Gävle, Sweden

Sahlgrenska university Hospital

Gothenburg, Sweden

Jönköping Hospital

Jönköping, Sweden

Kalmar Hospital

Kalmar, Sweden

Karlskrona Hospital

Karlskrona, Sweden

Kungälv Hospital

Kungälv, Sweden

Linköping University Hospital

Linköping, Sweden

Sunderby Hospital

Luleå, Sweden

Lycksele Hospital

Lycksele, Sweden

Skåne Universitetssjukhus

Malmo, Sweden

Mora Hospital

Mora, Sweden

Norrtälje Hospital

Norrtälje, Sweden

Nyköping Hospital

Nyköping, Sweden

Skellefteå Hospital

Skellefteå, Sweden

Skövde Hospital

Skövde, Sweden

Danderyd Hospital

Stockholm, Sweden

Stockholm South Hospital

Stockholm, Sweden

Trollhättan Hospital

Trollhättan, Sweden

Umeå University Hospital

Umeå, Sweden

Västerås Hospital

Västerås, Sweden

Västervik Hospital

Västervik, Sweden

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NCT03966716


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