NCT06146205

The Hip Fracture Surgical Approach Trial

• Status: Active Not Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 476 (actual)
• Sponsor: Diakonhjemmet Hospital · Academic / Other
• Sex: All
• Age: 50 Years
• Healthy volunteers: Not accepted

Summary

The HIFSAT study will compare the standard direct lateral approach to hemiarthroplasty to a new muscle sparing approach (SPAIRE) in femoral neck fracture patients.

Detailed description

Femoral neck fractures are mostly treated with a hemiarthroplasty, where the fractured femoral head is replaced with a metal implant. The most common surgical approach to hemiarthroplasty has been the lateral approach, in which the gluteus medius tendon is partially released from the greater trochanter. Hip pain and limping is not uncommon after this approach has been used. A new surgical approach (SPAIRE) has been developed to alleviate this problem, and in this method the surgeon approaches the injured hip joint from posterior, preserving most of the muscles and tendons around the hip. This trial is designed to assess if this new SPAIRE approach leads to better results than the lateral approach in patients with femoral neck fractures.

Conditions

• Hip Fracture
• Femoral Neck Fracture

Interventions

Type	Name	Description
PROCEDURE	Direct lateral approach	The hip joint is approached from laterally, and parts of the gluteus medius tendon is released from the greater trochanter before the hip joint is entered from the anterior side.
PROCEDURE	SPAIRE	The hip joint is entered from posterior, and the approach preserves the external rotators of the hip joint.

Timeline

• Start date: 2024-04-30
• Primary completion: 2026-08-30
• Completion: 2028-03-30
• First posted: 2023-11-24
• Last updated: 2026-03-30

Locations

1 site across 1 country: Norway