Clinical effectiveness of a modified muscle sparing posterior technique compared with a standard lateral approach in hip hemiarthroplasty for displaced intracapsular fractures (HemiSPAIRE): a multicenter, parallel-group, randomized controlled trial.

ABSTRACT:

Objectives

Assess the effect of a modified muscle sparing posterior approach; SPAIRE (Save Piriformis and Internus, Repairing Externus), in hip hemiarthroplasty for displaced intracapsular fractures on postoperative mobility and function compared with a standard lateral approach.

Design

Pragmatic, superiority, multicenter, parallel-group, randomized controlled trial (with internal pilot). Participants, ward staff, and research staff conducting postoperative assessments were blinded to allocation. A CTU allocated treatments centrally using computer-generated lists.

Setting

Six hospitals in Southwest England, recruiting November 25, 2019-April 25, 2022.

Participants

244 adults (≥60 years) requiring hip hemiarthroplasty (122 allocated to each approach). 90 and 85

SUBMITTER: Ball S 

PROVIDER: S-EPMC11184196 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature