Prospective randomized controlled trial comparing dynamic hip screw and screw fixation for undisplaced subcapital hip fractures

Neck of femur fractures (NOFFs) are a common cause of morbidity and mortality in our community. Minimally displaced intracapsular fractures are treated with internal fixation by a two‐hole dynamic hip screw (DHS) or three partially threaded cancellous screws. Data to support the superiority of one are limited. This prospective randomized controlled trial compares outcomes with these two fixation methods.

[1]  J. Pasco,et al.  Changes in hip fracture rates in southeastern Australia spanning the period 1994–2007 , 2011, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[2]  K. Åkesson,et al.  Long-term follow-up of replacement compared with internal fixation for displaced femoral neck fractures: results at ten years in a randomised study of 450 patients. , 2010, The Journal of bone and joint surgery. British volume.

[3]  O. Furnes,et al.  Treatment of Displaced Femoral Neck Fractures in Elderly Patients Internal Screw Fixation Compared with Bipolar Hemiarthroplasty for , 2010 .

[4]  M. Bhandari,et al.  Resolving controversies in hip fracture care: the need for large collaborative trials in hip fractures. , 2009, Journal of orthopaedic trauma.

[5]  S. Lord,et al.  Incidence of hip fracture in New South Wales: are our efforts having an effect? , 2004, The Medical journal of Australia.

[6]  H. Kreder,et al.  Comparison of Early and Delayed Fixation of Subcapital Hip Fractures in Patients Sixty Years of Age or Less , 2002, The Journal of bone and joint surgery. American volume.

[7]  K. Gurusamy,et al.  Internal fixation implants for intracapsular hip fractures in adults , 2001 .

[8]  S. Jaglal,et al.  Predictors of early failure of fixation in the treatment of displaced subcapital hip fractures. , 1998, Journal of orthopaedic trauma.

[9]  Anita M. Hubley,et al.  Mini-Mental State Examination (MMSE) and the Modified MMSE (3MS): A psychometric comparison and normative data. , 1996 .

[10]  C. Sledge,et al.  Hip fracture mortality. Relation to age, treatment, preoperative illness, time of surgery, and complications. , 1984, Clinical orthopaedics and related research.

[11]  M. Parker,et al.  Surgical approaches and ancillary techniques for internal fixation of intracapsular proximal femoral fractures. , 2005, The Cochrane database of systematic reviews.

[12]  M. Parker,et al.  Internal fixation implants for intracapsular proximal femoral fractures in adults. , 2001, The Cochrane database of systematic reviews.

[13]  J. Kenzora.  Hip fracture mortality. , 1984 .