Description
This transcript captures a detailed presentation on the management of intracapsular hip fractures, specifically focusing on recent trials and evidence influencing clinical practice. The speaker, John Keating, discusses the prevalence and significance of hip fractures in their unit, where they treat around 1,000 cases annually. Key trials, specifically the FAITH and HEALTH trials, are summarized, shedding light on the debate surrounding fixation methods (cannulated screws vs. sliding hip screws) and arthroplasty options (total vs. hemi arthroplasty). The presentation highlights that reoperation rates were similar between the fixation methods, indicating that both are viable options. Furthermore, it suggests that while total hip replacement may provide some functional advantages, particularly in younger, fit patients (ages 60-75), hemiarthroplasty remains the more common treatment for older patients. The conclusion emphasizes that the choice of fixation method may not significantly impact outcomes, steering towards a preference for hemiarthroplasty in most cases.
DOI: 10.1302/3114-230441