October 21, 2016
NATIONAL HARBOR, Md. — At the Orthopaedic Trauma Association Annual Meeting, a presenter said the risk for reoperation at 2 years was similar for patients older than 50 years with femoral neck fractures treated with either sliding hip screws or cancellous screws.
“Our interpretation is that there is, overall, similar risk of operation between sliding hip screw and cancellous hip screw for all patients included in the trial. Osteonecrosis [was] more frequent in the sliding hip screw [group], and the subgroup analysis suggested hip screws reduce the rate of reoperation in patients with displaced femoral neck fractures, fractures at the base of the femoral neck and in current smokers,” Marc F. Swiontkowski, MD, said during his presentation. “So the osteonecrosis finding does challenge prior research.”