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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

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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
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:
DateEvent
May 2014Published
31 December 2013Accepted
27 October 2013Submitted
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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