Table 3.
Study outcomes by treatment group
| Overall (n=1079) | Sliding hip screw (n=542) | Cancellous screws (n=537) | Hazard ratio (95% CI) | p value | |
|---|---|---|---|---|---|
| Reoperation | |||||
| Any reoperation | 224 (21%) | 107 (20%) | 117 (22%) | 0.83 (0.63–1.09) | 0.18 |
| Implant removal | 74 (7%) | 25 (5%) | 49 (9%) | 0.42 (0.25–0.70) | 0.0009 |
| Implant exchange: total hip arthroplasty | 104 (10%) | 64 (12%) | 40 (7%) | 1.51 (1.00–2.27) | 0.0494 |
| Implant exchange: hemiarthroplasty | 55 (5%) | 26 (5%) | 29 (5%) | 0.89 (0.52–1.51) | 0.66 |
| Implant exchange: internal | 16 (1%) | 2 (<1%) | 14 (3%) | 0.14 (0.03–0.62) | 0.0024 |
|
| |||||
| Fixation | |||||
| Implant exchange: spacer | 3 (<1%) | 1 (<1%) | 2 (<1%) | 0.50 (0.05–5.45) | 0.56 |
| Soft tissue procedure | 6 (1%) | 4 (1%) | 2 (<1%) | 1.98 (0.36–10.77) | 0.42 |
| Proximal femoral osteotomy | 1 (<1%) | 1 (<1%) | 1 (<1%) | 0.99 (0.06–15.80) | 0.99 |
|
| |||||
| Avascular necrosis | 78 (7%) | 50 (9%) | 28 (5%) | 1.91 (1.06–3.44) | 0.0319 |
|
| |||||
| Non-union | 66 (6%) | 33 (6%) | 33 (6%) | 0.92 (0.48–1.75) | 0.80 |
|
| |||||
| Implant failure | 87 (8%) | 42 (8%) | 45 (8%) | 0.95 (0.61–1.48) | 0.81 |
|
| |||||
| Infection | |||||
| Any infection | 19 (2%) | 10 (2%) | 9 (2%) | 1.10 (0.45–2.69) | 0.83 |
| Superficial infection | 8 (1%) | 4 (1%) | 4 (1%) | 0.99 (0.25–3.94) | 0.99 |
| Deep infection | 11 (1%) | 6 (1%) | 5 (1%) | 1.19 (0.37–3.87) | 0.77 |
|
| |||||
| Fracture healing* | |||||
| Healed by month 24 | 532/795 (67%) | 262/398 (66%) | 270/397 (68%) | .. | 0.71 |
| Not healed by month 24 | 3/795 (<1%) | 2/398 (1%) | 1/397 (<1%) | .. | |
| Not healed at time of last visit | 260/795 (33%) | 134/398 (34%) | 126/397 (32%) | .. | |
|
| |||||
| Fracture shortening >5 mm (n=532)† | 146/532 (27%) | 69/262 (26%) | 77/270 (29%) | 0.92 (0.70–1.22) | 0.57 |
|
| |||||
| Mortality | 156 (14%) | 73 (13%) | 83 (15%) | 0.81 (0.58–1.12) | 0.20 |
Data are n (%). Relative risk was calculated where the total number of events is less than 50.
795 patients were included in the fracture healing analysis. 284 patients did not have radiograph available for fracture healing adjudication, and therefore were not included in the denominator.
532 patients were included in the shortening analysis on the basis of the number of healed fractures with shortening data.