Fixation Versus Arthroplasty Surgical Treatments for Early Recovery After Hip Fracture (Faster-Hip)

Hip Fracture Surgery Study

D
Dillon O'Neill

Primary Investigator

Enrolling By Invitation
18 years - 100 years
All
Phase N/A
3 participants needed
1 Location

Brief description of study

The goal of this study is to determine if arthroplasty is superior to internal fixation when used to treat minimally displaced femoral neck fractures.

THIS STUDY IS ENROLLING BY INVITATION ONLY - All patients presenting to a participating clinical site will be prospectively screened for eligibility in each active intervention domain based on medical record review and discussions with the patient and their treatment team treating physician. The scope of actively recruiting intervention domains’ eligibility criteria will determine the scope of patient screening at each clinical site.

Detailed description of study

There are multiple treatment decisions along the patient’s journey for any medical condition. The overall objective of MAPT is to incrementally decrease decisional uncertainty by identifying the effectiveness of different interventions that improve outcomes for adult patients with health conditions affecting physical mobility. The platform focuses on the comparative effectiveness of available treatment options. Depending on the burden of disease and treatments available, the platform is flexible to detect varying levels of meaningful benefit or harm (or equivalence) with appropriately varying levels of certainty. Intervention domains (i.e., treatment comparisons) will be evaluated on the platform to achieve the overarching objective. Specific objectives for each intervention domain will be included in the intervention domain-specific protocol appendices.
 

Eligibility of study

You may be eligible for this study if you meet the following criteria:

  • Conditions: Femoral neck fractures
  • Age: 18 years - 100 years
  • Gender: All

Inclusion Criteria
1.    Adult patients (aged 18 years or older).
2.    The patient has a health condition affecting physical mobility.

Exclusion Criteria
1.    The patient is not clinically suitable for either compared treatment.
2.    Expected injury survival of less than 12 months.
3.    Terminal illness with expected survival of less than 12 months.
4.    Incarceration.
5.    Unable to obtain informed consent due to language barriers.
6.    Unable to obtain informed consent because the legally authorized representative was unavailable. 
7.    Problems, in the judgment of the study personnel, with maintaining follow-up with the patient.
8.    Currently enrolled in a study or intervention domain that does not permit co-enrollment.
9.    Prior enrollment in the specific platform trial intervention domain.
10.    Patient or legally authorized representative did not provide informed consent (declined participation).
11.    Eligible patient or legally authorized representative was not approached within the screening window (missed participant).
12.    Other reasons to exclude the patient, as approved by the data coordinating center.

The purpose of this study is to investigate the effectiveness of two surgical treatments for hip fractures: arthroplasty and internal fixation. A hip fracture is a break in the upper part of the thigh bone near the hip joint. This study focuses on patients with minimally displaced femoral neck fractures, which are a type of hip fracture where the bone is not severely out of place.

Participants in this study will undergo one of the two surgical treatments. Arthroplasty involves replacing the damaged part of the hip with an artificial joint, while internal fixation uses metal screws or plates to hold the bone in place while it heals. The study will compare the recovery outcomes of patients undergoing these procedures.

  • Who can participate: Adults aged 18 or older with a health condition affecting physical mobility may participate. However, those who cannot undergo either treatment, have a terminal illness with less than 12 months to live, or face language barriers for informed consent are excluded.
  • Study details: All participants will be carefully monitored throughout the study to compare the recovery outcomes of the two surgical treatments.
Updated on 15 May 2026. Study ID: ORTHO-USC-FASTER-HIP, 29866
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Interested in the study?

This study is accepting only persons who receive care at a certain clinic or doctor or who are part of an invited group. Questions about this study can be directed to the study team listed in the description or contact your doctor to see if you are eligible.

Accepting Referrals by Invitation Only