Surgical Approach in Hemiarthroplasty. A Randomized Clinical Trial Comparing Posterior and Anterior Approach
Femoral Neck Fractures, Bone Mineral Density, Muscle Damage
About this trial
This is an interventional treatment trial for Femoral Neck Fractures
Eligibility Criteria
Inclusion Criteria:
- Patients between 70 and 90 years of age
- Displaced FNF
- Ability to walk with or without a walking aid prior to falling
- Patients having Sorlandet Hospital as primary service provider for orthopaedic trauma
- Provision of informed consent by patient or proxy
- Low energy fracture (fall from standing height, no other major trauma)
Exclusion Criteria:
- Dementia
- Fractures in pathologic bone
- Patients not suited for HA (i.e., inflammatory arthritis, severe osteoarthritis)
- Associated major injuries of the lower extremity ( i.e., ipsilateral or contralateral fractures of the foot, ankle, tibia, fibula or femur)
- Retained hardware around the affected hip that will interfere with arthroplasty
- Sepsis or local infection
Sites / Locations
- Sorlandet Hospital
- Sorlandet hospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
cemented hemiarthroplasty , posterior SPAIRE approach
cemented hemiarthroplasty, anterior approach
Posterior SPAIRE approach: lateral decubitus position, preservation of the piriformis tendon and obturator internus, detatchment of obturator externus , capsular T-incision, femoral neck resection, femoral canal reaming according to preoperative templating, third generation cementation technique, capsular repair, repair of obturator externus.
Anterior approach: supine position, both legs washed and draped, intermuscular plane between m. tensor fascia lata and m. sartorius, capsular T-incision, femoral neck resection, femoral canal reaming according to preoperative templating, third generation cementation technique, capsular repair