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Hip fracture surgery showdown: replacement vs. fixation under study

NCT ID NCT05947058

Knowledge-focused Sponsor: University of Maryland, Baltimore Source: ClinicalTrials.gov ↗

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
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 This study
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 Results may not be published yet.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This status has not been confirmed recently, so it may be out of date.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 27, 2026 · Last updated Jun 27, 2026

Summary

This study looks at two common surgeries for a certain type of hip fracture in people aged 60 and older: hip replacement or using screws/pins to hold the bone together. The main goal is to see if a larger study is possible by checking how many people join, how well the treatments are followed, and how complete the data is. 40 participants will be followed for one year after surgery.

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 40 people

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

Started

Nov 2023

Expected to finish

Dec 2026

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: * Patients 60 years of age or older. * Complete fracture of the femoral neck (AO/OTA 31B) confirmed with anteroposterior and lateral hip radiographs, computed tomography, or magnetic resonance imaging (MRI). * Minimally displaced fracture that could be, in the judgment of the attending surgeon, optimally managed with either arthroplasty or in situ internal fixation without reduction. * Low energy injury mechanism defined as a fall from standing height. * Informed consent obtained from patient or proxy. * Surgeons with expertise in total hip arthroplasty, hemiarthroplasty, and internal fixation are available to perform surgery. Note: Surgeons do not need to be experts in all techniques. Exclusion Criteria: * Unable to ambulate 10 feet pre-injury with any assistance. * Associated lower extremity injury that prevents post-operative weightbearing. * 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. * Patient is too ill, in the judgement of the attending surgeon, for internal fixation. * Patient is too ill, in the judgement of the attending surgeon, for arthroplasty. * Unable to obtain informed consent due to language barriers. * Problems, in the judgment of study personnel, with maintaining follow-up with the patient. * Currently enrolled in a study that does not permit co-enrollment. * Prior enrollment in the trial. * Other reason to exclude the patient, as approved by the Methods Centre.

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Conditions

The condition(s) this trial relates to.

femoral neck fracture

As listed by the trial registrant

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

Femoral neck fractures

Contacts and locations

Locations

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115, United States

  • Dartmouth-Hitchcock Medical Center

    Lebanon, New Hampshire, 03756, United States

  • Hamilton Health Sciences

    Hamilton, Ontario, L8V 1C3, Canada

  • Inova Fairfax Medical Campus

    Falls Church, Virginia, 22042, United States

  • London Health Sciences Centre

    London, Ontario, N6A 5W9, Canada

  • University of British Columbia

    Vancouver, British Columbia, V6T 1Z2, Canada

  • University of Florida

    Gainesville, Florida, 32611, United States

  • University of Maryland Capital Region Health

    Largo, Maryland, 20774, United States

  • University of Maryland, R Adams Cowley Shock Trauma Center

    Baltimore, Maryland, 21201, United States

  • University of Southern California

    Los Angeles, California, 90007, United States

  • Vall d'Hebron University Hospital

    Barcelona, 08035, Spain

  • Yale University

    New Haven, Connecticut, 06520, United States

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