Femoral Neck Fractures Clinical Trial
Official title:
A Prospective, Randomized, Multicenter Clinical Study in Elderly Chinese Subjects to Compare the Safety and Efficacy of the SS Bipolar Head and SL-TWIN Stem With Bipolar Head and SL-PLUS Stem in Hemiarthroplasty of the Hip
This is a prospective, randomized, multicenter clinical study in elderly Chinese subjects to compare the safety and efficacy of the SS Bipolar Head and SL-TWIN Stem with Bipolar Head and SL-PLUS Stem in hemiarthroplasty of the hip
Elderly patients, especially post-menopausal women, often suffer a femoral neck fracture due
to osteoporosis, even with very little trauma. Femoral neck fracture is a common disease in
elderly patients, it accounts for 3.6% of total body fractures. In China, as the population
continues to age and life expectancy increases, the incidence of femoral neck fracture has
significantly increased.
Hip replacement surgery includes total hip arthroplasty (THA) and hemiarthroplasty (HAP).
Hemiarthroplasty of the hip involves replacement of the diseased, affected, or broken femoral
head and/or neck with a prosthetic component. Hemiarthroplasty does not involve resurfacing
of the acetabulum, and therefore a bipolar or unipolar prosthetic head articulates against
the host acetabular articular cartilage. Avoiding the need, when appropriate, to resurface
the acetabulum helps to minimize surgical trauma, operative time and dislocation risk, while
preserving acetabular bone stock. These also result in shorter bed stay and faster recovery
comparing with the THA.
There has been an increase in imported hip prostheses during the past decade, so that
surgeons now have more choices of implants. However, the high cost of imported prostheses has
become a barrier to the development of hip replacement in China and caused many patients
requiring immediate hip replacement to have to delay or miss their surgery. The development
and promotion of high-quality domestic joint implants and surgical instruments is the key to
the development of joint replacement technique in China.
The primary objective of this study is to demonstrate non-inferiority of subjects implanted
with the SS Bipolar Head + SL-TWIN Stem compared to a randomized concurrent control group of
subjects implanted with the Bipolar Head + SL-PLUS Stem in terms of mean Harris Hip Score
(HHS) at 1 year.
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