Hip Fracture Surgical Approach Trial

project manager


About the project

The most common operation for hip fractures is the replacement of the entire hip ball with a cemented hemiprosthesis. After such an injury and surgery, many patients never regain their pre-injury level of function, which is a major burden for patients, but also for their families and the health and social care sector. A new surgical method, called the SPAIRE approach, preserves many of the anatomical structures that are usually cut during hemiprosthesis surgery.  

The randomized controlled HIFSAT study will investigate whether patients operated with the SPAIRE method have better function and mobility after surgery, compared to patients operated with the current standard method (so-called lateral access). This may have implications for hip fracture treatment both nationally and internationally.

Who can participate?

We plan to enroll 220 patients, of which 110 will be randomized to surgery with the SPAIRE approach and 110 will be operated with the lateral approach.

Recruitment has not started yet.

Project arrangement

Patients will be followed up after 3 and 12 months and the main outcome measure is the New Mobility Score, which is a measure of the patient's daily walking function. Patients who cannot come to an outpatient check-up will be monitored in an institution or at home.


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