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 Randomised Clinical Trial 

Description

In this presentation, Xavier Griffin discusses the results of the WHiTE Four clinical trial, which compares a new hip screw implant called the X-Bolt with the traditional sliding hip screw device. Highlighting the significance of collaboration in healthcare research, he emphasizes the large multicenter study's contribution to understanding hip fracture treatment. The discussion includes a video summarizing the study, which involved 1,128 participants aged 60 and older across ten UK hospitals. Griffin details the importance of randomized controlled trials and the trial's findings, which reveal no statistically significant differences in health outcomes between the two implants over a year of follow-up. He notes that about 3% of patients in both groups required a second operation, ultimately recommending that surgeons should use the implant they are most familiar with. Griffin praises the UK’s performance in treating hip fractures, noting its low revision rate compared to other international methods. The presentation concludes with a Q&A, addressing inquiries regarding the inclusion of patients with cognitive impairment and the effectiveness of proxy reporting in measuring health-related quality of life.

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