Name:
Effect on Health-related Quality of Life of the X-Bolt Dynamic Plating System versus the Sliding Hip Screw for the Fixation of Trochanteric Fractures of the Hip in Adults: The WHiTE Four Randomized Clinical Trial
Description:
Effect on Health-related Quality of Life of the X-Bolt Dynamic Plating System versus the Sliding Hip Screw for the Fixation of Trochanteric Fractures of the Hip in Adults: The WHiTE Four Randomized Clinical Trial
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Duration:
T00H02M06S
Embed URL:
https://stream.cadmore.media/player/73a5e2f4-2138-43bb-bc53-742e2fb50861
Content URL:
https://cadmoreoriginalmedia.blob.core.windows.net/73a5e2f4-2138-43bb-bc53-742e2fb50861/The WHiTE Four randomized clinical trial.mp4?sv=2019-02-02&sr=c&sig=DjCq90YEFUWBBbuXrBsMQ96Aa0woE%2BMsHyY%2BCq4SYhs%3D&st=2024-11-21T14%3A52%3A02Z&se=2024-11-21T16%3A57%3A02Z&sp=r
Upload Date:
2024-05-31T00:00:00.0000000
Transcript:
Language: EN.
Segment:0 .
SPEAKER: A broken hip is the most common injury in older people that needs to be treated in hospital. It can reduce people's ability to walk and their independence. The injury can be very serious and fatal in some cases. So, we are always looking for ways to improve the effectiveness of treatment. Certain types of hip fracture are best held in place with a screw, which is inserted into the thigh bone around the hip joint. However, due to osteoporosis, the bones of some patients are not strong enough to hold the screw in place, which means healing may not be as good.
SPEAKER: And some patients may need a second operation. The WHITE 4 clinical trial, the largest study of its kind, asked if a new type of screw, the X- Bolt, worked better for patients with a hip fracture. 1,128 people aged 60 years and older treated for a broken hip in 10 hospitals across the UK took part in the study. We used a process called randomisation to split the people into two groups with similar demographics.
SPEAKER: Half were treated with a traditional type of screw and half with the X- Bolt screw. We followed up with everyone who took part in the study for a year after their operation. We found that there was no difference between the two types of screw in terms of quality of life, how well a normal life could be lived, walking ability, or the number of people who died.
SPEAKER: In both groups, approximately 3% of patients needed to have a second operation. Overall, we recommended that surgeons use the implant that is most familiar to them.
