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CompletedNCT01486641APAFUpdated Aug 2, 2017

Anterolateral Versus Posterolateral Approach to the Fractured Hip Arthroplasty

An interventional study of Anterolateral approach in Femoral Neck Fracture, sponsored by Sundsvall Hospital. Completed at 2 sites in Sweden. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2017-08-02.

Sponsored by Sundsvall Hospital · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
160
Allocation
Non-randomized
Ages
65 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine whether the anterolateral in comparison to posterolateral approach to the hip arthroplasty gives an equal or better clinical results.

Read the detailed description

The purpose of this study is to compare the anterolateral- to posterolateral approaches in patients suffering a displaced femoral neck fracture operated with an hip arthroplasty. Our hypothesis is that the anterolateral approach gives equal or better clinical function, health related quality of life and less complication and reoperations.

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Conditions studied

  • Femoral Neck Fracture

Keywords

  • femoral neck fracture
  • arthroplasty
  • surgical approach
  • anterolateral
  • posterolateral
03

In context

Femoral Neck Fractures

204 studies on the registry are indexed under Femoral Neck Fractures; 41 are open to participants now.

This study's planned enrollment of 160 is above the median of 100 across 140 interventional studies indexed under Femoral Neck Fractures.

Browse Femoral Neck Fractures studies →

Lead sponsor

Sundsvall Hospital is the lead sponsor of 22 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
65 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age > 65 years
  • Displaced femoral neck fracture

Exclusion criteria

Exclusion Criteria:

  • Pathologic fracture
  • Not Swedish speaker
  • Not living in Västernorrlands county
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
160 participants (estimated)

Study arms

  • Active comparator
    Anterolateral approach

    Patients with a displaced femoral neck fracture operated through the anterolateral approach to the hip arthroplasty. Lubinus total hip arthroplasty or varikopf hemiarthroplasty.

    Procedure: Anterolateral approach

  • No intervention
    Posterolateral approach

    Patients with a displaced femoral neck fracture operated through the posterolateral approach to the hip arthroplasty. Lubinus total hip arthroplasty or varikopf hemiarthroplasty.

Interventions

  • ProcedureAnterolateral approach

    Anterolateral approach acording to Gammer for hip arthroplasty.

    Also known as: Anterolateral approach according to Gammer., Lubinus total hip arthroplasty or varikopf hemiarthroplasty.

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What researchers measure

Primary outcomes

  1. Womac

    Time frame: 1 year postoperatively

Secondary outcomes

  1. EQ5D

    Time frame: 1 year postoperatively

  2. Harris Hip Score

    Time frame: 1 year postoperatively

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Study locations

2 sites
  • Sundsvall Hospital
    Sundsvall, Västernorrlands län 851 86, Sweden
  • Department of orthopedic surgery Sundsvall Hospital
    Sundsvall, 851 86, Sweden
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References and documents

Publications

  • Ritter MA, Harty LD, Keating ME, Faris PM, Meding JB. A clinical comparison of the anterolateral and posterolateral approaches to the hip. Clin Orthop Relat Res. 2001 Apr;(385):95-9. doi: 10.1097/00003086-200104000-00016. PubMed 11302333 ↗
  • Gore DR, Murray MP, Sepic SB, Gardner GM. Anterolateral compared to posterior approach in total hip arthroplasty: differences in component positioning, hip strength, and hip motion. Clin Orthop Relat Res. 1982 May;(165):180-7. PubMed 7075057 ↗
  • Skoldenberg O, Ekman A, Salemyr M, Boden H. Reduced dislocation rate after hip arthroplasty for femoral neck fractures when changing from posterolateral to anterolateral approach. Acta Orthop. 2010 Oct;81(5):583-7. doi: 10.3109/17453674.2010.519170. PubMed 20860452 ↗

Individual participant data

Plan to share: Yes — Publication in an international peer-review journal.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 2, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01486641
Lead sponsor
Sundsvall Hospital
Responsible party
Sponsor
First posted
Dec 6, 2011
Start date
Feb 2012
Primary completion
Jun 2015
Completion
Jun 2015
Last update
Aug 2, 2017

Study contacts

Arkan S Sayed-Noor
principal investigator · Umeå University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2014. You cannot join it, but the record below documents what was studied.

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