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. |
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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 |