Hip plating system yielded similar quality of life outcomes vs sliding hip screw
Patients with trochanteric hip fractures treated with a hip plating system had similar health-related quality of life outcomes and risk of revision as those treated with a sliding hip screw, according to published results.
Researchers randomly assigned 1,128 patients with a trochanteric hip fracture to fracture fixation with either a sliding hip screw (n=564) or the X-Bolt Dynamic Hip Plating System (n=564; X-Bolt Orthopaedics). Researchers assessed the EuroQol-5D-5L at 4 months postoperatively as the primary outcome, while EQ-5D-5L utility at 12 months, mortality, residential status, mobility, revision surgery and radiological measures were considered the secondary outcomes.
In the primary intention-to-treat analysis, researchers analyzed 437 patients in the hip plating system group and 443 patients in the sliding hip screw group. Results showed the adjusted utility index had a mean difference of 0.029 in favor of the hip plating system with no difference between the groups. Researchers found no differences in any of the secondary outcomes between the treatment groups. The hip plating and sliding hip screw groups also had similar pattern and overall risk of adverse events, according to results.
“This was a large trial in a frail patient group, whose main desire is to stay out of hospital and to maintain their independence,” Brian Thornes, MD, MS, FRCSI, CEO of X-Bolt Orthopaedics, said in a company press release. “The data confirms the outstanding safety profile of the X-Bolt, which virtually eliminates ‘cut out’ as an issue. I am also delighted that the clinical impact translates into intangibly better outcomes for a significant number of patients.”