Intramedullary Nail Versus Hip Arthroplasty in Unstable Trochanteric Hip Fractures

Recruiting now · Not applicable

Conditions studied: Hip Injuries and Disorders, Hip Fractures

In brief

A hip fracture is a large burden to the patient with increased mortality, pain and increased need for daily assistance. Trochanteric fractures of the femur (FTF) represents about 35% of the hip fractures. Today FTFs are mainly treated with internal fixation using sliding hips screws (SHS) or intramedullary nail (IMN), whilst hip arthroplasty (THA/HA) is rarely used. Despite advances in the design of the internal fixation implants there is a high failure rate, in particular in cases of FTFs classified as unstable fractures. Since the introduction of hip arthroplasty in femoral neck fractures there has been a reduction in complication rates, early mobilization and shorter hospital stays. The primary objective of this project is to investigate if treatment with hip arthroplasty in unstable FTFs will increase the postoperative mobility, give a better general health outcome for the patient, better quality of life and reduce re-operation rate for the patients compared to those operated with the traditional IMN.

Key facts

Study ID

NCT04868305

Run by

Helse Stavanger HF

People needed

170

Starts

2021-10-12

Expected to finish

2027-03-31

Last updated by the study team

2026-04-30

Who can join

Age: 65 and older, up to 120. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age ≥ 65 years
• American Society of Anesthesiology Score (ASA) < 4
• Ambulant with or without aid (preinjury)
• Radiological verified unstable trochanteric hip fracture (AO 31A2.2 - 3.3)
• Written consent obtained by patient or his/her next of kin

You may not qualify if…

• Previous hip surgery on ipsilateral or contralateral side
• Non-ambulant preinjury
• Patient not living in the area of hospital care

Where it is running

• Stavanger University Hospital — Stavanger, Norway (enrolling)

Full record on ClinicalTrials.gov

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