Anterolateral Versus Posterior Approach for Total Hip Arthroplasty After Displaced Femoral Neck Fracture
Status: | Completed |
---|---|
Conditions: | Orthopedic |
Therapuetic Areas: | Orthopedics / Podiatry |
Healthy: | No |
Age Range: | 65 - Any |
Updated: | 2/7/2015 |
Start Date: | June 2010 |
End Date: | June 2013 |
There are two surgical approaches (incision types) used by surgeons who do total hip
replacements. The purpose of this study is to determine which type of surgical approach
(incision type) produces the best results for patients who have a total hip replacement.
Null Hypothesis : There is no difference in complication rate, functional outcome, surgical
time, or blood loss when comparing outcomes in patients receiving THA to hemiarthroplasty or
ORIF for femoral neck fractures.
replacements. The purpose of this study is to determine which type of surgical approach
(incision type) produces the best results for patients who have a total hip replacement.
Null Hypothesis : There is no difference in complication rate, functional outcome, surgical
time, or blood loss when comparing outcomes in patients receiving THA to hemiarthroplasty or
ORIF for femoral neck fractures.
Patients undergoing Total hip Arthroplasty following displaced femoral neck fracture, will
be consented and randomized to one of two surgical approaches ( anterior or posterior).
be consented and randomized to one of two surgical approaches ( anterior or posterior).
Inclusion Criteria:
- Displaced femoral neck fracture
- Age 65 years or older
- Acute, femoral neck fracture
Exclusion Criteria:
Cognitive impairment
- Active Infection
- Limited functional capacity (nursing home resident, non-ambulatory, severe
cardiorespiratory disease)
- Limited life expectancy
- Pathologic fracture (tumor)
- Acetabular fractures
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