Recruiting

Direct Anterior Approach vs. Lateral Hemiarthroplasty

Sponsor:

Ottawa Hospital Research Institute

Code:

NCT05173155

Conditions

Hip Fractures

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

surgical approach

Study Details

Brief summary:

Recent research has demonstrated that a hemiarthroplasty (replacement of half the joint) has lower rates of post-surgical complications than a total hip arthroplasty does. However, surgeons tend to vary in their approach to hemiarthroplasties. The lateral approach, which involves making an incision at the side of the patient's hip, requires surgeons to cut through the muscle to access the hip, which has been associated with greater muscle damage and slower rates of recovery. On the other hand, the direct anterior approach does not require the cutting of the patient's muscle and is therefore associated with minimal muscle damage and faster rates of recovery. This study will aim to assess the impact of the surgical approach (Direct Anterior Approach vs. Lateral approach) during hemiarthroplasty on patients' short-term mobility, quality of life, function, pain, and safety parameters.

Conditions

Hip Fractures

Study ID

NCT05173155

Start date

May 30, 2022

Status verified date

Nov, 2023

Completion date

Feb, 2025

Anticipated

Primary completion date

Nov, 2024

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • Any patient undergoing a hemiarthroplasty for a femoral neck fracture;
  • Patients capable of reading, writing and signing an informed consent form

Exclusion Criteria:

  • Patients under the age of 18

Study Design

Enrollment

120 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Direct anterior approach for hemiarthroplasty

Patients in this arm will receive a hemiarthroplasty using the direct anterior approach (DAA)

experimental: Lateral approach for hemiarthroplasty

Patients in this arm will receive a hemiarthroplasty using the lateral approach

Interventions

surgical approach

Comparison of short-term outcomes (patient mobility, quality of life, function, pain, and safety parameters) for the direct anterior approach and Lateral approach for hemiarthroplasty for patients who have experienced a femoral-neck hip fracture.

Primary outcome measure

  • Short-term mobility [ Time Frame: six days post-op ]

Central Contacts and Locations

Locations

The Ottawa Hospital

Recruiting

Ottawa, Ontario, Canada, k1h 8l6

Contacts

More Information

Sponsor

Ottawa Hospital Research Institute

Last update posted

Nov 13, 2023

Last verified

Nov, 2023

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by Ottawa Hospital Research Institute on 2023-11-13.