![]() Recently, two randomised controlled trials (RCTs) comparing internal fixation with hemiarthroplasty have been published.īoth RCTs demonstrated a lower reoperation frequency in the hemiarthroplasty group (5) compared with internal fixation (2021). Introduction Arthroplasty for a displaced femoral neck fracture (FNF) in the elderly is recommended by most guidelines.įor the undisplaced FNF, internal fixation is the only recommendation however, it is questioned whether there is an alternative treatment. The participants and assessors are blinded concerning implant. Participants are only included if they are able to walk outside with no help from other individuals. ![]() Primary outcome is an easily understood functional score, the New Mobility Score. It is a pragmatic RCT and each hospital can use their preferred implants. Trial registration number Registry ( NCT04075461 ). Tilt Remix 61 Downlads Registration Number ClinicalTrials Tilt Remix 61 Downlads Trial Results Thatīecause this is a national trial, all relevant healthcare professionals in Denmark will automatically receive the trial results that will be published in international peer-reviewed journals. Secondary outcomes are the Oxford Hip Score, EuroQol 5 domain (EQ-5D-5L), degree of posterior tilt, pain Verbal Rating Scale, reoperation and mortality.Įthics and dissemination The study is approved by the Danish Data Protection Agency (197429) and the scientific ethics committee (S-20180036). ![]() The primary outcome measure is the New Mobility Score assessed after 1 year. Primary and secondary outcomes and measuring points have been established in collaboration with patients with hip fracture by focus group interviews. Participants will be electronically randomised (in alternating blocks of 4 or 6) into either IF or arthroplasty. Patients over 65 years old with an undisplaced FNF will be screened for eligibility and patients will only be excluded if they are unable to understand the study information (due to dementia or language), if they have a posterior tilt 20, a pathological fracture or they cannot walk.
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