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Fractures of the proximal femur are one of the greatest challenges facing the medical community, constituting a heavy socioeconomic burden worldwide. Controversy exists regarding the optimal treatment for patients with unstable trochanteric proximal femoral fractures. The recognised treatment alternatives are extramedullary fixation usually with a sliding hip screw and intramedullary fixation with a cephalomedullary nail. Current evidence suggests that best results and lowest complication rates occur using a sliding hip screw. Complications in these difficult fractures are relatively common regardless of type of treatment. We believe that a novel device, the X-Bolt dynamic plating system, may offer superior fixation over a sliding hip screw with lower reoperation risk and better function. We therefore propose to investigate the clinical effectiveness of the X-bolt dynamic plating system compared with standard sliding hip screw fixation within the framework of a the larger WHiTE (Warwick Hip Trauma Evaluation) Comprehensive Cohort Study. Cite this article: Bone Joint Res 2013;2:206-9.

Original publication

DOI

10.1302/2046-3758.210.2000183

Type

Journal article

Journal

Bone & joint research

Publication Date

01/2013

Volume

2

Pages

206 - 209

Addresses

Warwick Orthopaedics, Warwick MedicalSchool, University of Warwick, CoventryCV4 7AL, UK, and UniversityHospitals Coventry and Warwickshire NHS Trust, CliffordBridge Road, Coventry CV2 2DX, UK.