Comparing Hip Arthroplasty and Internal Fixation Surgery for Older Adults With Minimally Displaced Femoral Neck Fractures

What this Trial Is About

This research evaluates treatments for older adults aged 60 years or older who have minimally displaced femoral neck fractures, a common type of hip fracture. The study compares two surgical approaches arthroplasty and internal fixation. It aims to determine whether arthroplasty leads to better outcomes such as lower death rates, improved walking ability, more days alive and out of hospital, and better health status within 4 and 12 months after surgery. Participants will be randomly assigned to receive either hip arthroplasty or internal fixation. Arthroplasty involves replacing part or all of the hip joint using standard surgical techniques, with the surgeon choosing the specific type of implant and fixation method. Internal fixation involves stabilizing the fracture with devices like screws through a small incision. Both surgeries are performed by experienced surgeons, and the choice of implant or fixation details depends on the surgeons judgment. Throughout the study, participants will be monitored for outcomes including death, walking ability, and days spent alive and outside the hospital up to 120 days and 365 days after surgery. Additional assessments include quality of life and pain levels during hospitalization. The study uses these measures to compare the effectiveness of the two surgical treatments. Participants will be followed for up to one year to evaluate health outcomes and recovery progress.

MAPT Protocol: Fixation Versus Arthroplasty Surgical Treatments for Early Recovery After HIP Fracture (FASTER-HIP)