Intervention Review

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Internal fixation implants for intracapsular hip fractures in adults

  1. Martyn J Parker1,*,
  2. Kurinchi Selvan Gurusamy2

Editorial Group: Cochrane Bone, Joint and Muscle Trauma Group

Published Online: 23 OCT 2001

Assessed as up-to-date: 5 NOV 2010

DOI: 10.1002/14651858.CD001467


How to Cite

Parker MJ, Gurusamy KS. Internal fixation implants for intracapsular hip fractures in adults. Cochrane Database of Systematic Reviews 2001, Issue 4. Art. No.: CD001467. DOI: 10.1002/14651858.CD001467.

Author Information

  1. 1

    Peterborough and Stamford Hospitals NHS Foundation Trust, Department of Orthopaedics, Peterborough, Cambridgeshire, UK

  2. 2

    Royal Free Campus, UCL Medical School, Department of Surgery, London, UK

*Martyn J Parker, Department of Orthopaedics, Peterborough and Stamford Hospitals NHS Foundation Trust, Peterborough City Hospital, CBU PO Box 211, Bretton Gate, Peterborough, Cambridgeshire, PE3 9GZ, UK. martyn.parker@pbh-tr.nhs.uk.

Publication History

  1. Publication Status: New search for studies and content updated (no change to conclusions)
  2. Published Online: 23 OCT 2001

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References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
Alberts 1989 {published data only}
  • Alberts KA, Jaerveus J, Zyto K. Nail versus screw fixation of femoral neck fractures. A 2-year radiological and clinical prospective study. Annales Chirurgiae et Gynaecologiae 1989;78:298-303.
Alho 1998(a) {published data only}
  • Alho A, Austdal S, Benterud JG, Blikra G, Lerud P, Raugstad TS. Biases in a randomized comparison of three types of screw fixation in displaced femoral neck fractures. Acta Orthopaedica Scandinavica 1998;69(5):463-8.
  • Alho A, Austdal S, Benterud JG, Blikra G, Lerud P, Raugstad TS. Problems in orthopedic multicenter studies - screw fixation of displaced femoral neck fracture [abstract]. Acta Orthopaedica Scandinavica. Supplementum 1998;282:11.
  • Austdal S, Benterud JG, Blikra G, Kuokkanen H, Lindequist S, Lerud P, et al. Osteosynthesis of displaced femoral neck fractures with multiple screws - a randomised multicenter study [abstract]. Journal of Bone and Joint Surgery. British Volume 1993;75 Suppl 2:199.
  • Benterud J, Alho A. Multiple screw fixation for displaced femoral neck fractures - a multicentre study [abstract]. Journal of Bone and Joint Surgery. British Volume 1995;77 Suppl 2:214.
  • Benterud JG, Blikra G, Lerud P, Raugstad TS, Austdal S, Lindequist S, et al. Multicentre randomized study on osteosynthesis of femoral neck fractures [abstract]. Acta Orthopaedica Scandinavica. Supplementum 1994;260:32-3.
  • Benterud JG, Blikra G, Lerud P, Raugstad TS, Austdal S, Lindequist S, et al. Multicentric randomized study on screw osteosynthesis of femoral neck fractures [abstract]. Acta Orthopaedica Scandinavica. Supplementum 1992;248:85.
Alho 1998(b) {published data only}
  • Alho A, Austdal S, Benterud JG, Blikra G, Lerud P, Raugstad TS. Biases in a randomized comparison of three types of screw fixation in displaced femoral neck fractures. Acta Orthopaedica Scandinavica 1998;69(5):463-8.
  • Alho A, Austdal S, Benterud JG, Blikra G, Lerud P, Raugstad TS. Problems in orthopedic multicenter studies - screw fixation of displaced femoral neck fracture [abstract]. Acta Orthopaedica Scandinavica. Supplementum 1998;282:11.
  • Austdal S, Benterud JG, Blikra G, Kuokkanen H, Lindequist S, Lerud P, et al. Osteosynthesis of displaced femoral neck fractures with multiple screws - a randomised multicenter study [abstract]. Journal of Bone and Joint Surgery. British Volume 1993;75 Suppl 2:199.
  • Benterud J, Alho A. Multiple screw fixation for displaced femoral neck fractures - a multicentre study [abstract]. Journal of Bone and Joint Surgery. British Volume 1995;77 Suppl 2:214.
  • Benterud JG, Blikra G, Lerud P, Raugstad TS, Austdal S, Lindequist S, et al. Multicentre randomized study on osteosynthesis of femoral neck fractures [abstract]. Acta Orthopaedica Scandinavica. Supplementum 1994;260:32-3.
  • Benterud JG, Blikra G, Lerud P, Raugstad TS, Austdal S, Lindequist S, et al. Multicentric randomized study on screw osteosynthesis of femoral neck fractures [abstract]. Acta Orthopaedica Scandinavica. Supplementum 1992;248:85.
Alho 1998(c) {published data only}
  • Alho A, Austdal S, Benterud JG, Blikra G, Lerud P, Raugstad TS. Biases in a randomized comparison of three types of screw fixation in displaced femoral neck fractures. Acta Orthopaedica Scandinavica 1998;69(5):463-8.
  • Alho A, Austdal S, Benterud JG, Blikra G, Lerud P, Raugstad TS. Problems in orthopedic multicenter studies - screw fixation of displaced femoral neck fracture [abstract]. Acta Orthopaedica Scandinavica. Supplementum 1998;282:11.
  • Austdal S, Benterud JG, Blikra G, Kuokkanen H, Lindequist S, Lerud P, Raugstad TS, Alho A. Osteosynthesis of displaced femoral neck fractures with multiple screws - a randomised multicenter study [abstract]. Journal of Bone and Joint Surgery. British Volume 1993;75 Suppl 2:199.
  • Benterud J, Alho A. Multiple screw fixation for displaced femoral neck fractures - a multicentre study [abstract]. Journal of Bone and Joint Surgery. British Volume 1995;77 Suppl 2:214.
  • Benterud JG, Blikra G, Lerud P, Raugstad TS, Austdal S, Lindequist S, et al. Multicentre randomized study on osteosynthesis of femoral neck fractures [abstract]. Acta Orthopaedica Scandinavica. Supplementum 1994;260:32-3.
  • Benterud JG, Blikra G, Lerud P, Raugstad TS, Austdal S, Lindequist S, et al. Multicentric randomized study on screw osteosynthesis of femoral neck fractures [abstract]. Acta Orthopaedica Scandinavica. Supplementum 1992;248:85.
Benterud 1997 {published data only}
  • Alho A, Benterud JG, Ronningen H, Hoiseth A. Prediction of disturbed healing in femoral neck fracture: radiographic analysis of 149 cases. Acta Orthopaedica Scandinavica 1992;63(6):639-44.
  • Benterud JG, Alho A. Displaced femoral neck fracture treated with HCS or Olmed screws - 225 randomized patients followed for 3 years [abstract]. Acta Orthopaedica Scandinavica. Supplementum 1994;256:18.
  • Benterud JG, Husby T, Nordsletten L, Alho A. Fixation of displaced femoral neck fractures with a sliding screw plate and a cancellous screw or two Olmed screws - A prospective, randomized study of 225 elderly patients with a 3-year follow-up. Annales Chirurgiae et Gynaecologiae 1997;86(4):338-42.
Christie 1988 {published data only}
  • Christie J, Howie CR, Armour PC. Fixation of displaced subcapital femoral fractures. Compression screw fixation versus double divergent pins. Journal of Bone and Joint Surgery. British Volume 1988;70(2):199-201.
  • Howie CR, Christie J, Watson H. A prospective randomised trial of compression screw fixation versus double divergent pin fixation for displaced subcapital fracture of the femur [abstract]. Journal of Bone and Joint Surgery. British Volume 1987;69(3):490.
Dalen 1985 {published data only}
Elmerson 1988 {published data only}
  • Elmerson S, Gunnar BJ, Andersson J, Irstam L, Zetterberg C. Internal fixation of femoral neck fracture. No difference between the Rydell four-flanged nail and Gouffon's pins. Acta Orthopaedica Scandinavica 1988;59(4):372-6.
Elmerson 1995 {published data only}
  • Elmerson S, Sjostedt A, Zetterberg C. Fixation of femoral neck fracture. A randomized 2-year follow-up study of hook pins and sliding screw plate in 222 patients. Acta Orthopaedica Scandinavica 1995;66(6):507-10.
Frandsen 1981 {published data only}
  • Frandsen PA. Osteosynthesis of displaced fractures of the femoral neck. A comparison between Smith-Petersen Osteosynthesis and sliding-nail-plate osteosynthesis - a radiological study. Acta Orthopaedica Scandinavica 1979;50(4):443-9.
  • Frandsen PA, Andersen Jr PE. Treatment of displaced fractures of the femoral neck. Smith-Petersen osteosynthesis versus sliding-nail-plate osteosynthesis. Acta Orthopaedica Scandinavica 1981;52(5):547-52.
Harper 1992 {published data only}
  • Harper WM. A prospective randomised trial comparing multiple parallel cannulated screws with a sliding hip screw and plate. In 'Treatment of intracapsular proximal femoral fractures'. Thesis. Leicester: University of Leicester, 1994:158-86.
  • Harper WM, Gregg PJ. The treatment of intracapsular proximal femoral fractures: a randomized prospective trial [abstract]. Journal of Bone and Joint Surgery. British Volume 1992;74 Suppl 3:282.
Herngren 1992 {published data only}
  • Herngren B, Mork-Petersen F, Bauer M. Uppsala screws or Hansson pins for internal fixation of femoral neck fractures? A prospective study of 180 cases. Acta Orthopaedica Scandinavica 1992;63(1):41-6.
Holmberg 1990 {published data only}
  • Holmberg S, Mattsson P, Dahlborn M, Ersmark H. Fixation of 220 femoral neck fractures. A prospective comparison of the Rydell nail and the LIH hook pins. Acta Orthopaedica Scandinavica 1990;61(2):154-7.
Kuokkanen 1991 {published data only}
  • Kuokkanen H, Korkala O, Antti-Poika I, Tolonen J, Lehtimaki MY, Silvennoinen T. Three cancellous bone screws versus a screw-angle plate in the treatment of Garden I and II fractures of the femoral neck. Acta Orthopaedica Belgica 1991;57:53-7.
Lagerby 1998 {published data only}
  • Lagerby M, Asplund S, Ringqvist I. Cannulated screws for fixation of femoral neck fractures: No difference between Uppsala screws and Richards screws in a randomized prospective study of 268 cases. Acta Orthopaedica Scandinavica 1998;69(4):387-91.
Lindequist 1989 {published data only}
  • Lindequist S, Malmqvist B, Ullmark G. Fixation of femoral neck fracture. Prospective comparison of von Bahr screws, Gouffon screws and Hessel pins [published erratum appears in Acta Orthopaedica Scandinavica 1989 Aug;60(4):507-508]. Acta Orthopaedica Scandinavica 1989;60(3):293-8.
Lykke 2003 {published data only}
  • Lykke N, Lerud PJ, Stromsoe K, Thorngren K-G. Fixation of fracture of the femoral neck: a prospective, randomised trial of three Ullevaal hip screws versus two Hansson hook-pins. Journal of Bone Joint Surgery. British Volume 2003;85:426-30.
Madsen 1987 {published data only}
  • Linde F, Andersen E, Hvass I, Madsen F, Pallesen R. Avascular femoral head necrosis following fracture fixation. Injury 1986;17:159-63.
  • Madsen F, Linde F, Andersen E, Birke H, Hvass I, Poulsen TD. Fixation of displaced femoral neck fractures. A comparison between sliding screw plate and four cancellous bone screws. Acta Orthopaedica Scandinavica 1987;58:212-6.
  • Madsen F, Linde F, Andersen E, Birke H, Hvass I, Poulsen TD. Sliding screw plate versus four ASIF cancellous bone screws in the treatment of displaced femoral neck fractures [abstract]. Acta Orthopaedica Scandinavica 1986;57:598-9.
Mjorud 2006 {published data only}
  • Mjorud J, Skaro O, Solhaug JH, Thorngren K-G. A randomised study in all cervical hip fractures. Osteosynthesis with Hansson hook-pins versus AO-screws in 199 consecutive patients followed for two years. Injury 2006;37(8):768-77.
Nordkild 1985 {published data only}
  • Nordkild P, Sonne-Holm S, Jensen JS. Femoral neck fracture: sliding screw plate versus sliding nail plate -a randomized trial. Injury 1985;16:449-54.
  • Sonne-Holm S, Nordkild P, Dyrbye M, Jensen JS. The predictive value of bone scintigraphy after internal fixation of femoral neck fractures. Injury 1987;18:33-5.
  • Sonne-Holm S, Nordkild P, Dyrbye M, Jensen JS. The predictive value of bone scintigraphy after internal fixation of femoral neck fractures [abstract]. Acta Orthopaedica Scandinavica 1986;57:181.
Olerud 1991 {published data only}
  • Hellqvist E, Olerud C, Rehnberg L. Hansson pins vs Uppsala screws in treating femoral neck fractures [abstract]. Acta Orthopaedica Scandinavica. Supplementum 1990;61(237):56.
  • Olerud C, Rehnberg L. Femoral neck fractures: Swedish experience. In: Marti RK, Dunki Jacobs PB editor(s). Proximal femoral fractures: operative techniques and complications. Vol. 1, London: Medical Press, 1993:219-40.
  • Olerud C, Rehnberg L, Hellquist E. Internal fixation of femoral neck fractures. Two methods compared. Journal of Bone and Joint Surgery. British Volume 1991;73:16-9.
Ovesen 1997 {published data only}
  • Ovesen O, Poulsen TD, Andersen I. Uppsala screws versus dynamic hip screw for internal fixation of femoral neck fractures [abstract]. Journal of Bone and Joint Surgery. British Volume 1997;79 Suppl 2:244.
  • Ovesen O, Poulsen TD, Andersen I, Jensen PE, Damholt UW. Uppsala screws versus dynamic hip screw for internal fixation of femoral neck fractures [abstract]. Acta Orthopaedica Scandinavica. Supplementum 1997;274:40.
Parker 2010 {published data only}
  • Parker MJ. personal communication October 29 2010.
  • Parker MJ, Ali SM. Short versus long thread cannulated cancellous screws for intracapsular hip fractures: a randomised trial of 432 patients. Injury 2010;41(4):382-4.
Paus 1986 {published data only}
  • Paus A, Gjengedal E, Hareide A, Jorgensen JJ. Dislocated fractures of the femoral neck treated with von Bahr screws or hip compression screw. Results of a prospective, randomized study. Journal of the Oslo City Hospitals 1986;36:55-61.
Rehnberg 1989 {published data only}
  • Olerud C, Rehnberg L. Femoral neck fractures: Swedish experience. In: Marti Rk, Dunki Jacobs PB editor(s). Proximal femoral fractures: operative techniques and complications. Vol. 1, London: Medical Press, 1993:207-19.
  • Rehnberg L, Olerud C. A new method for osteosynthesis prevents early complications in cervical hip fractures [Ny osteosyntesmetod minskar de tidiga komplikationerna vid cervikala hoftfrakturer]. Lakartidningen 1988;85:3820-1. [MEDLINE: 89038721 89038721]
  • Rehnberg L, Olerud C. Femoral neck fractures: A prospective randomized comparison of von Bahr and Uppsala screws [abstract]. Acta Orthopaedica Scandinavica. Supplementum 1990;237:55.
  • Rehnberg L, Olerud C. Fixation of femoral neck fractures. Comparison of the Uppsala and von Bahr screws. Acta Orthopaedica Scandinavica 1989;60:579-84.
Sernbo 1990 {published data only}
  • Sernbo I, Holmquist H, Redlund-Johnell I, Johnell O. Radiographic prediction of failure after fixation of cervical hip fracture. Acta Orthopaedica Scandinavica 1994;65(3):295-8.
  • Sernbo I, Johnell O, Baath L, Nilsson JA. Internal fixation of 410 cervical hip fractures. A randomized comparison of a single nail versus two hook-pins. Acta Orthopaedica Scandinavica 1990;61(5):411-4.
Sorensen 1992 {published data only}
  • Sorensen JL, Varmarken JE, Bomler J. Internal fixation of femoral neck fractures. Dynamic Hip and Gouffon screws compared in 73 patients. Acta Orthopaedica Scandinavica 1992;63(3):288-92.
  • Varmarken JE, Sorensen JL, Bomler J. Internal fixation of femoral neck fractures; a randomised comparison of Dynamic Hip Screw and Gouffon Pins [abstract]. Acta Orthopaedica Scandinavica. Supplementum 1992;63(247):35-6.
Sorensen 1996 {published data only}
  • Sorensen AI, Scavenius M, Aagaard H, Ronnebech J, Torholm C. Dynamic hip screw versus Hook-pins versus Uppsala screws in treatment of fracture of the cervical neck [abstract]. Acta Orthopaedica Scandinavica. Supplementum 1996;267:30.
Stromquist 1988 {published data only}
  • Roos H, Hansson LI, Ohlin P, Stromquist B. Screws or hook pins in femoral neck fracture fixation? [abstract]. Acta Orthopaedica Scandinavica 1986;57:250.
  • Stromquist B, Roos H, Hansson LI, Ohlin P. Fixation of fractures of the femoral neck using screws or hook-pins. Radionuclide study and short-term results [Fixation des fractures du col femoral par vissage ou "broches en crochet". Etude scintimetrique et resultats a court terme. Fixation des fractures du col femoral par vissage ou "broches en crochet". Etude scintimetrique et resultats a court terme.]. Revue de Chirurgie Orthopedique et Reparatrice de L'appareil Moteur 1988;74:609-13. [MEDLINE: 89202939 89202939]
Stromqvist 1984 {published data only}
  • Stromqvist B. Femoral head vitality after intracapsular hip fracture. 490 cases studied by intravital tetracycline labelling and Tc-MDP radionuclide imaging. Acta Orthopaedica Scandinavica 1983;54(Suppl 200):17.
  • Stromqvist B, Hansson LI, Nilsson LT, Thorngren KG. Two-year follow-up of femoral neck fractures. Comparison of osteosynthesis methods. Acta Orthopaedica Scandinavica 1984;55:521-5.
  • Stromqvist B, Hansson LI, Nilsson LT, Thorngren K-G. Two-year follow-up of femoral neck fractures with special reference to type of osteosynthesis. Acta Orthopaedica Scandinavica 1984;55:712-3.
  • Stromqvist B, Hansson LI, Palmer J, Ceder L, Thorngren KG. Scintimetric evaluation of nailed femoral neck fractures with special reference to type of osteosynthesis. Acta Orthopaedica Scandinavica 1983;54:340-7.
Svenningsen 1984 {published data only}
  • Benum P, Nesse O, Svenningsen S. Fracture of the neck of the femur. A randomized prospective study [abstract]. Acta Orthopaedica Scandinavica 1980;51:371.
  • Svenningsen S, Benum P, Nesse O, Furset OI. Femoral neck fractures in the elderly. A comparison of 3 therapeutic methods [Larhalsbrudd hos eldre. En sammenligning av tre behandlingsmetoder]. Tidsskr for den Norske Laegeforening 1985;105(7):492-5. [MEDLINE: 85193171]
  • Svenningsen S, Benum P, Nesse O, Furset OI. Femoral neck fractures in the elderly - a comparison of 3 treatment methods [Larhalsbrudd hos eldre--en sammenligning av tre behandlingsmetoder]. Nordisk Medicin 1985;100:256-9. [MEDLINE: 86176685 86176685]
  • Svenningsen S, Benum P, Nesse O, Furset OI. Internal fixation of femoral neck fractures. Compression screw compared with nail plate fixation. Acta Orthopaedica Scandinavica 1984;55:423-9.
Wihlborg 1990 {published data only}

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
Ingwersen 1992 {published data only}
  • Ingwersen J, Skoglund A, Syversen S. Early loss of fixation of cervical hip fractures [abstract]. Acta Orthopaedica Scandinavica. Supplementum 1992;247:6-7.
Jukkala-Partio 2000 {published data only}
  • Jukkala-Partio K, Partio EK, Helevirta P, Pohjonen T, Tormala P, Rokkanen P. Treatment of subcapital femoral neck fractures with bioabsorbable or metallic screw fixation. Annals Chirurgiae et Gynaecologiae 2000;89:45-52.
Poulsen 1995 {published data only}
Sernbo 1986 {published data only}
  • Sernbo I, Edwards P, Johnell O, Baath L. Cannulated screws versus spring loaded single nail in cervical hip fractures: A prospective randomized trial [abstract]. Acta Orthopaedica Scandinavica 1986;57:598.

References to ongoing studies

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
FAITH {unpublished data only}
  • Bhandari M. Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH): a multi-centre randomised trial comparing sliding hip screws and cancellous screws on revision surgery rates and quality of life in the treatment of femoral neck fractures. http://apps.who.int/trialsearch/Trial.aspx?TrialID=ISRCTN25524122 (accessed 18 January 2011).

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
Alho 1998
  • Alho A, Austdal S, Benterud JG, Blikra G, Lerud P, Raugstad TS. Biases in a randomized comparison of three types of screw fixation in displaced femoral neck fractures. Acta Orthopaedica Scandinavica 1998;69(5):463-8.
Harris 1969
  • Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mould arthroplasty. An end-result study using a new method of result evaluation. Journal of Bone and Joint Surgery. American Volume 1969;51-A(4):737-55.
Lefebvre 2009
  • Lefebvre C, Manheimer E, Glanville J. Chapter 6.4.11  Search filters. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.2 (updated September 2009). The Cochrane Collaboration, 2009. Available from www.cochrane-handbook.org.
Lu-Yao 1994
  • Lu-Yao GL, Keller RB, Littenberg B, Wennberg JE. Outcome after displaced fracture of the femoral neck: a meta-analysis of one hundred and six published reports. Journal of Bone and Joint Surgery. American Volume 1994;76-A:15-25.
Parker 1993
  • Parker MJ, Pryor GA. Hip fracture management. Oxford: Blackwell Scientific Publications, 1993.
Tronzo 1974