Intramedullary Nailing vs Sliding Hip Screw in Trochanteric Fracture Management: The INSITE Randomized Clinical Trial.

ABSTRACT:

Importance

Fractures of the hip have devastating effects on function and quality of life. Intramedullary nails (IMN) are the dominant implant choice for the treatment of trochanteric fractures of the hip. Higher costs of IMNs and inconclusive benefit in comparison with sliding hip screws (SHSs) convey the need for definitive evidence.

Objective

To compare 1-year outcomes of patients with trochanteric fractures treated with the IMN vs an SHS.

Design, setting, and participants

This randomized clinical trial was conducted at 25 international sites across 12 countries. Participants included ambulatory patients aged 18 years and older with low-energy trochanteric (AO Foundation and Orthopaedic Trauma Association [AO/OTA] type 31-A1 or 31-A2) fractures. Patient recruitment

SUBMITTER: Schemitsch EH 

PROVIDER: S-EPMC10245197 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature