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AIMS: The aim of this study was to investigate the association between the type of operation used to treat a trochanteric fracture of the hip and 30-day mortality. PATIENTS AND METHODS: Data on 82 990 patients from the National Hip Fracture Database were analyzed using generalized linear models with incremental case-mix adjustment for patient, non-surgical and surgical characteristics, and socioeconomic factors. RESULTS: The use of short and long intramedullary nails was associated with an increase in 30-day mortality (adjusted odds ratio (OR) 1.125, 95% confidence interval (CI) 1.040 to 1.218; p = 0.004) compared with the use of sliding hip screws (12.5% increase). If this were causative, it would represent 98 excess deaths over the four-year period of the study and one excess death would be caused by treating 112 patients with an intramedullary nail rather than a sliding hip screw. CONCLUSION: There is a 12.5% increase in the risk of 30-day mortality associated with the use of an intramedullary nail compared with a sliding hip screw in the treatment of a trochanteric fractures of the hip.

Original publication




Journal article


Bone joint j

Publication Date





83 - 91


Intramedullary nail, Mortality, National Hip Fracture Database, Neck of femur fracture, Sliding hip screw, Trochanteric hip fracture, Aged, Aged, 80 and over, Bone Nails, Bone Screws, Female, Fracture Fixation, Intramedullary, Hip Fractures, Humans, Length of Stay, Male, Middle Aged, Prospective Studies, United Kingdom