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The INSITE Trial: Intramedullary Nailing vs Sliding Hip Screw in Trochanteric Fracture Management

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Ace Report Cover
June 2023

The INSITE Trial: Intramedullary Nailing vs Sliding Hip Screw in Trochanteric Fracture Management

Vol: 303| Issue: 6| Number:9| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1

Intramedullary Nailing vs Sliding Hip Screw in Trochanteric Fracture Management: The INSITE Randomized Clinical Trial

JAMA Netw Open. 2023 01-Apr.

Contributing Authors:
EH Schemitsch LL Nowak AP Schulz O Brink RW Poolman S Mehta D Stengel CQ Zhang S Martinez B Kinner TJS Chesser M Bhandari Investigators INSITE

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Synopsis

850 patients with trochanteric fractures were randomized to receive surgical fixation using an intramedullary nail (n=423, Gamma3 Stryker) or a sliding hip screw (n=427). The primary outcome of interest was health-related quality of life, measured using the Euro-QoL 5-Dimensions (EQ-5D) scale. Secondary outcomes of interest included the incidence of revision, rate of healing, adverse events, mobil...

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