• Training
  • 03/01/2021
  • UK

Effect on Health-related Quality of Life of the X-Bolt Dynamic Plating System versus the Sliding Hip Screw for the Fixation of Trochanteric Fractures of the Hip in Adults: The WHiTE Four Randomized Clinical Trial

Description

The transcript discusses the prevalence of hip fractures in older adults, emphasizing the severity of such injuries and the challenges in treatment due to osteoporosis affecting bone strength. It introduces the WHITE 4 clinical trial, the largest study of its kind, which tests a new type of screw, the X-Bolt, for its effectiveness compared to traditional screws in treating hip fractures. With 1,128 participants aged 60 and older across ten UK hospitals, the study divided patients into two groups to evaluate outcomes after one year post-operation. The findings indicate no significant differences in quality of life, walking ability, or mortality rates between the two treatment methods, with roughly 3% from both groups requiring a second operation. The conclusion advises surgeons to choose the implant they are most comfortable with, reflecting an endorsement of established practices when dealing with such injuries.

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