Aims. The optimal treatment for independent patients with a displaced
intracapsular fracture of the hip remains controversial. The recognised
alternatives are hemiarthroplasty and total hip arthroplasty. At
present there is no established standard of care, with both types
of arthroplasty being used in many centres. Patients and Methods. We conducted a feasibility study comparing the clinical effectiveness
of a dual mobility acetabular component compared with standard polyethylene
component in total hip arthroplasty for independent patients with
a displaced intracapsular fracture of the hip, for a 12-month period
beginning in June 2013. The primary outcome was the risk of dislocation
one year post-operatively. Secondary outcome measures were EuroQol
5 Dimensions, ICEpop CAPability measure for Older people, Oxford
hip score, mortality and re-operation. Results. Only 20 patients were recruited during this time. The baseline
demographics were similar in the two groups and no patient suffered
a dislocation. Differences in secondary outcomes were not analysed
due to the small sample. Conclusion. This feasibility study suggests that any trial investigating
the effectiveness of total hip arthroplasty for fracture of the
hip might not be deliverable within the constraints of current systems
of care in the United Kingdom. Cite this article: Bone Joint J 2016;98-B:1431–5