Why the study?
Does fixation with hook pins compared to sliding screw plates reduce failure rates in patients with cervical hip fractures?
Does fixation with hook pins compared to sliding screw plates reduce failure rates in patients with cervical hip fractures?
There is no significant difference in failure rates at 2 years between hook pins and sliding screw plates for cervical hip fracture fixation.
Neither hook pins nor screw plates reduce failure rates more in cervical hip fractures; confirms comparable performance of both fixation methods.
We compared fixation with hook pins or sliding screw plate in a prospective randomized study of 222 patients with a cervical hip fracture. Radiographic evidence of early redisplacement, nonunion, or late segmental collapse was found in 43 of 122 patients operated on with two hook pins and in 40 of 100 patients operated on with the sliding screw plate. According to the actuarial method, the failure rate after 2 years was 38% with hook pins and 46% with screw plates, which not is a significant difference. Due to early redisplacement, reoperation with an endoprosthesis was performed within 0.5 (2) years in 11 (22) patients in the hook-pin group and in 4 (17) patients in the sliding-screw plate group.
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Elmerson et al. (1995) studied this question.
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