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Hip replacement vs. screws: which gets seniors back on their feet faster?

NCT ID NCT07244211

Disease control Sponsor: University of Southern California Source: ClinicalTrials.gov ↗

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now This study
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 25, 2026 · Last updated Sep 10, 2026 · Updated 14 times

Summary

This study compares two common surgeries for a certain type of hip fracture in adults aged 60 and older: hip replacement (arthroplasty) versus internal fixation (using screws or pins). The goal is to see which approach helps people survive, walk independently, and spend more time out of the hospital in the first year after surgery. The trial will enroll 600 participants across multiple centers.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
Hip arthroplasty (replacement) or internal fixation surgery
What this could lead to
If successful, this could show that hip replacement is better than internal fixation for helping older adults recover faster, walk again, and stay out of the hospital after a hip fracture.
What could go wrong
This is a pragmatic trial comparing two standard surgeries, so no breakthrough is expected. Results may vary by patient health, and recovery depends on many factors beyond the procedure.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

About 600 people

The number the study aims to enrol. It can still change while the study runs.

Started

Jan 2026

Expected to finish

Jan 2030

An estimate. End dates often move.

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

60 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * 60 years of age or older undergoing surgery due to a minimally displaced femoral neck fracture * The patient has a health condition affecting physical mobility. * Complete fracture of the femoral neck (AO/OTA 31B) confirmed with anteroposterior and lateral hip radiographs, computed tomography, or magnetic resonance imaging. * Minimally displaced fracture that could be, in the judgment of the attending surgeon, managed with either arthroplasty or in situ internal fixation without reduction. * Low energy injury mechanism. * Surgeons with expertise in internal fixation and total hip arthroplasty or hemiarthroplasty are available to perform surgery. Exclusion Criteria: * The patient is not clinically suitable for either compared treatment. * Expected injury survival of less than 12 months. * Terminal illness with expected survival of less than 12 months. * Incarceration. * Unable to obtain informed consent due to language barriers. * Unable to obtain informed consent because the legally authorized representative was unavailable. * Problems, in the judgment of the study personnel, with maintaining follow-up with the patient. * Currently enrolled in a study or intervention domain that does not permit co-enrollment. * Prior enrollment in the specific platform trial intervention domain. * Patient or legally authorized representative did not provide informed consent (declined participation). * Eligible patient or legally authorized representative was not approached within the screening window (missed participant). * Other reasons to exclude the patient, as approved by the data coordinating center. * Associated lower extremity injury that prevents post-operative weight-bearing. * Retained hardware around the hip that precludes either study treatment. * Infection around the hip (soft tissue or bone). * Pathologic fracture with a lytic lesion in the femoral neck that precludes internal fixation. * Injury did not occur within 21 days of screening. * Patient is too ill, in the judgment of the attending surgeon, for internal fixation. * Patient is too ill, in the judgment of the attending surgeon, for arthroplasty.

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Conditions

The condition(s) this trial relates to.

Femoral Fractures femoral neck fracture hip fracture

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Femoral neck fractures

How to take part

Only the study team decides who joins. These are the ways to reach them.

  1. The study's own enquiry address

    This study publishes an address for enquiries. See it below .

  2. The places running it

    26 sites in 4 countries. The list below names each one and where it is.

  3. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

    Open the record ↗

  4. A doctor treating you

    A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.

Contacts and locations

Study contacts

  • Contact

    Email: •••••@•••••

Locations

  • Beth Israel Deaconess Medical Center

    NOT_YET_RECRUITING

    Boston, Massachusetts, 02215, United States

  • Cedars-Sinai Medical Center

    RECRUITING

    Los Angeles, California, 90048, United States

  • Consorci Sanitari de l'Alt Penedès i Garraf (CSAPG)

    NOT_YET_RECRUITING

    Barcelona, Spain

  • Fraser Health Authority

    RECRUITING

    Vancouver, British Columbia, Canada

  • Hospital Universitari Vall d'Hebron

    NOT_YET_RECRUITING

    Barcelona, Spain

  • Indiana University

    RECRUITING

    Bloomington, Indiana, 47405, United States

  • Inova Health Care Services

    RECRUITING

    Fairfax, Virginia, 22031, United States

  • London Health Sciences Centre

    RECRUITING

    London, Ontario, N6A 5W9,, Canada

  • Los Angeles General Medical Center

    RECRUITING

    Los Angeles, California, 90033, United States

    Contact Email: •••••@•••••

  • NYU Langone Health System

    NOT_YET_RECRUITING

    New York, New York, 10016, United States

  • Prisma Health-Upstate

    RECRUITING

    Greenville, South Carolina, 29601, United States

  • St. Luke's University Health System

    RECRUITING

    Allentown, Pennsylvania, 18102, United States

  • Sykehuset Østfold HF / Østfold Hospital Trust

    RECRUITING

    Grålum, 1714, Norway

  • University of British Columbia

    RECRUITING

    Vancouver, British Columbia, V6T 1Z4, Canada

  • University of California, Irvine

    RECRUITING

    Irvine, California, 92660, United States

  • University of Cincinnati

    RECRUITING

    Cincinnati, Ohio, 45221, United States

  • University of Maryland Capital Region Health

    RECRUITING

    Largo, Maryland, 20774, United States

  • University of Maryland, Baltimore - R Adams Cowley Shock Trauma Center

    RECRUITING

    Baltimore, Maryland, 21201, United States

  • University of Miami

    NOT_YET_RECRUITING

    Miami, Florida, 33146, United States

  • University of Mississippi

    RECRUITING

    University, Mississippi, 38677, United States

  • University of Oklahoma Health Sciences Center

    RECRUITING

    Oklahoma City, Oklahoma, 73104, United States

  • University of Southern California

    RECRUITING

    Los Angeles, California, 90033, United States

    Contact Email: •••••@•••••

  • University of Utah

    RECRUITING

    Salt Lake City, Utah, 84108, United States

  • University of Vermont

    NOT_YET_RECRUITING

    Burlington, Vermont, 05405, United States

  • University of Wisconsin - Madison

    RECRUITING

    Madison, Wisconsin, 53706, United States

  • Vanderbilt University

    RECRUITING

    Nashville, Tennessee, 37235, United States

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