High-Dose, Dual-Antibiotic Loaded Cement for Hemiarthroplasty: The WHiTE 8 Trial .
This report has been verified
by one or more authors of the
original publication.
High-dose dual-antibiotic loaded cement for hip hemiarthroplasty in the UK (WHiTE 8): a randomised controlled trial
Lancet. 2023 Jul 15;402(10397):196-202.4,936 patients aged 60 years or older, scheduled for a hemiarthroplasty surgery to treat hip fracture, were randomized to receive single-antibiotic loaded cement (n=2,453) or high-dose, dual-antibiotic loaded cement (n=2,483). The primary outcome of interest was the rate of deep surgical site infection at 90 days post-operation. Secondary outcomes of interest included mortality, antibiotic use, complications, quality of life, mobility, and the proportion of patients discharged home, assessed at 120 days post-operation. No differences in the rate of deep surgical site infection were observed between the single-antibiotic and high-dose, dual anti-biotic groups. Quality of life outcomes, mortality, complication rates, mobility, and the proportion of patients discharged home were also similar between groups. The results of the WHiTE 8 trial found no clinical benefit of the use of high-dose, dual-antibiotic loaded cement over single-antibiotic loaded cement for older patients undergoing hemiarthroplasty.
Unlock the Full ACE Report
You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now
Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics
