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. 2006 Oct 18;2006(4):CD001708. doi: 10.1002/14651858.CD001708.pub2

Svenningsen 1985.

Methods Randomisation by: method not stated.
Participants One hospital, Trondheim, Norway. 
 From October 1977 to January 1980 
 169 patients. 
 Characteristics of participants: 
 Mean age in each group 
 79 both fixations 
 83 arthroplasty (range 70 to 93) 
 Male: 42 (24.9%) 
 Loss to follow‐up: 7 (4.1%) 
 Inclusions: displaced femoral neck fracture (Garden III‐IV), aged over 70 
 Exclusions: not reported
Interventions 1. Reduction and fixation with compression screw versus 
 2. McLaughlin nail plate versus 
 3. Bipolar hemiarthroplasty, Christiansen (lateral approach)
Outcomes Follow‐up for 36 months. 
 OUTCOMES COLLECTED BY TRIAL 
 (a) Operative details: 
 Duration of operation 
 Number of blood transfusions 
 (b) Complications related to type of operation: 
 For both methods: re‐operations, superficial infection 
 (c) Postoperative complications: 
 Deep vein thrombosis 
 Pulmonary embolism 
 Pneumonia 
 Cerebrovascular accident 
 (d) Postoperative care outcomes: 
 Mortality at 6, 12, 36 months 
 Bed bound time 
 (e) Anatomical restoration: none 
 (f) Final outcome measures: 
 Clinical results 
 adapted from Love (pain and mobility) 
 (g) Economic cost: none
Notes Translation obtained for main points of article.
Previous publication in Acta Orthop Scand 1984 reports better results in SHS group compared to nail‐plate in undisplaced and displaced fractures.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not stated
Allocation concealment (selection bias) Unclear risk Not stated
Blinding (performance bias and detection bias) 
 Were the assessors of pain and function at follow‐up blinded to the treatment allocation High risk No mention of blinding of assessors of pain and function