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Scottish Trial of Arthroplasty or Reduction for Subcapital fractures (STARS)
ISRCTN ISRCTN32884890
ClinicalTrials.gov identifier
Public title Scottish Trial of Arthroplasty or Reduction for Subcapital fractures (STARS)
Scientific title
Acronym STARS
Serial number at source HTA 94/24/03
Study hypothesis In a prospective randomised multicentre trial we will evaluate the management of displaced subcapital fractures in fit elderly patients with bipolar hemiarthroplasty, total hip arthroplasty or reduction and fixation. The trial will be conducted under the auspices of the Scottish Orthopaedic Trial Network, which involves the four university orthopaedic centres and associated district general hospitals. Patients will be randomised to one of three treatment groups and will be followed up for a minimum of two years.

Please note that, as of 11/05/2009, the anticipated end date has been updated from 31/08/2000 to 31/08/2002.
Lay summary
Ethics approval Not provided at time of registration.
Study design Prospective randomised multicentre trial
Countries of recruitment United Kingdom
Disease/condition/study domain Injury, occupational diseases, poisoning: Musculoskeletal injury
Participants - inclusion criteria Elderly patients with bipolar hemiarthroplasty, total hip arthroplasty or reduction and fixation.
Participants - exclusion criteria Not provided at time of registration.
Anticipated start date 01/06/1996
Anticipated end date 31/08/2002
Status of trial Completed
Patient information material
Target number of participants 298
Interventions There are three treatment options:
1. One method of mending the break is with a type of screw, sometimes with a plate on its side; the two parts of the bone are joined together, and no bone is replaced.
2. A second method using a hip replacement. The ball at the end of the femur bone is replaced by an artificial 'ball' which is fixed into the top of the rest of the femur bone; the socket is not replaced.
3. The third method is also a type of hip replacement. Like the second method, the ball of the femur is replaced, but the socket in the hip bone is also replaced.
Primary outcome measure(s) Clinical outcome will include perioperative mortality and reoperation. Functional outcomes will be assessed using a hip rating questionnaire and the EuroQoL functional outcome questionnaire. A cost-effectiveness and cost utility analysis will be integrated into the study protocol.
Secondary outcome measure(s) Not provided at time of registration.
Sources of funding NIHR Health Technology Assessment Programme - HTA (UK)
Trial website http://www.abdn.ac.uk/hsru/hta/stars.shtml
Publications http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=16202351
Contact name Mr  John  Keating
  Address Department of Orthopaedics
University of Edinburgh
Royal Infirmary
Little France
Old Dalkeith Road
  City/town Edinburgh
  Zip/Postcode EH16 4SU
  Country United Kingdom
  Tel +44 (0)131 242 3436
  Fax +44 (0)131242 3413
  Email johnkeating@ed.ac.uk
Sponsor Department of Health (UK)
  Address Quarry House
Quarry Hill
  City/town Leeds
  Zip/Postcode LS2 7UE
  Country United Kingdom
  Tel +44 (0)1132 545 843
  Email Sheila.Greener@doh.gsi.gov.uk
  Sponsor website: http://www.dh.gov.uk/en/index.htm
Date applied 25/04/2003
Last edited 11/05/2009
Date ISRCTN assigned 25/04/2003
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