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The Targon Femoral Neck hip screw versus cannulated screws for internal fixation of intracapsular fractures of the hip : a randomised controlled trial
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Griffin, Xavier L., Parsons, Nicholas R., Achten, Juul and Costa, Matthew L. (2014) The Targon Femoral Neck hip screw versus cannulated screws for internal fixation of intracapsular fractures of the hip : a randomised controlled trial. The Bone & Joint Journal, Volume 96-B (Number 5). pp. 652-657. doi:10.1302/0301-620X.96B5.33391 ISSN 2049-4394.
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Official URL: http://dx.doi.org/10.1302/0301-620X.96B5.33391
Abstract
We compared a new fixation system, the Targon Femoral Neck (TFN) hip screw, with the current standard treatment of cannulated screw fixation. This was a single-centre, participant-blinded, randomised controlled trial. Patients aged 65 years and over with either a displaced or undisplaced intracapsular fracture of the hip were eligible. The primary outcome was the risk of revision surgery within one year of fixation.
A total of 174 participants were included in the trial. The absolute reduction in risk of revision was of 4.7% (95% CI 14.2 to 22.5) in favour of the TFN hip screw (chi-squared test, p = 0.741), which was less than the pre-specified level of minimum clinically important difference. There were no significant differences in any of the secondary outcome measures.
We found no evidence of a clinical difference in the risk of revision surgery between the TFN hip screw and cannulated screw fixation for patients with an intracapsular fracture of the hip.
| Item Type: | Journal Article | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Statistics and Epidemiology Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | The Bone & Joint Journal | ||||||||
| Publisher: | British Editorial Society of Bone and Joint Surgery | ||||||||
| ISSN: | 2049-4394 | ||||||||
| Official Date: | May 2014 | ||||||||
| Dates: |
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| Volume: | Volume 96-B | ||||||||
| Number: | Number 5 | ||||||||
| Page Range: | pp. 652-657 | ||||||||
| DOI: | 10.1302/0301-620X.96B5.33391 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access (Creative Commons) |
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