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Sliding hip screw

Sliding hip screw has been studied in 10 papers since 2017: 2 trials and 7 observational studies in people, 1 review. The newest paper, Oct 11, 2025: “Sliding hip screw constructs are associated with early mobilisation, return to domicile and shorter length of stay when compared to an intramedullary nail: Results from the Scottish hip fracture audit”.

Intervention

10 papers study it6 findingsUpdated

See all 10

“A sliding hip screw was superior to cancellous screws in current smokers, with a win ratio of 1.65 (95% CI 1.02-2.65) at 6 months (p = 0.007).”
Revisiting the FAITH Trial: A Secondary Analysis Yielding Novel Insights with the Win RatioJB & JS open access2025doi:10.2106/jbjs.oa.25.00230

2 of its findings point the other way.

C, W, M, H: cells, worms or flies, mice, humans. Dark: independent labs found the same change there. Light: one lab or one study. Outline: nothing yet.

Labs are independent when their papers share no last author and no institution.

Against: findings that point the other way from most findings on the same outcome.

  • 2 independent labs in 2 countries
  • 2 findings against
  • Funders: Gouvernement du Canada | Canadian Institutes of Health Research and 5 more
  • Human trial2
  • Humans7

Studies in people

1 study gave sliding hip screw to people and measured what changed.

What did studies of Sliding hip screw find?

3

Studies of Sliding hip screw measured 3 outcomes; the most studied are composite outcome of all-cause mortality, ambulation status, and days at home (1 study), length of stay (1) and survival (1).

Composite outcome of all-cause mortality, ambulation status, and days at home

upin humans1no changein humans1

1 study

  1. Sliding hip screw improves composite outcome of all-cause mortality, ambulation status, and days at home in humans (win ratio 1.65, 95% 1.02-2.65).

    “At 6 months, treatment with a sliding hip screw was preferred in current smokers, with a win ratio of 1.65 (95% 1.02-2.65; p = 0.007).”

    Human trialin current smokers24 months

    Revisiting the FAITH Trial: A Secondary Analysis Yielding Novel Insights with the Win Ratio

    JB & JS open access

  2. Sliding hip screw has no effect on composite outcome of all-cause mortality, ambulation status, and days at home in humans (win ratio 1.03, 95% CI 0.86-1.23).

    “A sliding hip screw was found to be superior to cancellous screws in 65,158 (47.5%) comparisons, inferior to cancellous screws in 63,378 (46.2%) comparisons, and tied in 8,578 (6.3%), leading to a win ratio of 1.03 (95% CI 0.86-1.23), but this difference was not statistically significant (p = 0.76).”

    Human trial24 monthsn = 741

    Revisiting the FAITH Trial: A Secondary Analysis Yielding Novel Insights with the Win Ratio

    JB & JS open access

  3. Sliding hip screw improves composite outcome of all-cause mortality, ambulation status, and days at home in humans (win ratio 1.65, 95% CI 1.02-2.65, p = 0.007).

    “A sliding hip screw was superior to cancellous screws in current smokers, with a win ratio of 1.65 (95% CI 1.02-2.65) at 6 months (p = 0.007).”

    Human triallow-energy femoral neck fracture in current smokers6 months

    Revisiting the FAITH Trial: A Secondary Analysis Yielding Novel Insights with the Win Ratio

    JB & JS open access

  4. Sliding hip screw has no effect on composite outcome of all-cause mortality, ambulation status, and days at home in humans (win ratio 1.03, 95% CI 0.86-1.23, p = 0.76).

    “leading to a win ratio of 1.03 (95% confidence interval [CI] 0.86-1.23), but this difference was not statistically significant (p = 0.76).”

    Human triallow-energy femoral neck fracture4 monthsn = 741

    Revisiting the FAITH Trial: A Secondary Analysis Yielding Novel Insights with the Win Ratio

    JB & JS open access

Length of stay

downin humans1

1 study

  1. Sliding hip screw decreases length of stay in humans (11 vs 12 days acute LOS, 20 vs 24 days overall LOS, p < 0.001).

    “Acute and overall, LOS were significantly lower for SHS vs IMN (11 vs 12 days and 20 vs 24 days respectively; p < 0.001).”

    Humanship fracture

    Sliding hip screw constructs are associated with early mobilisation, return to domicile and shorter length of stay when compared to an intramedullary nail: Results from the Scottish hip fracture audit

    Injury

Survival

no changein humans1OR 1.05

1 study

  1. Sliding hip screw has no effect on survival in humans (OR 1.05, 95% CI 0.90-1.23, p = 0.532).

    “No significant differences were identified in 30 or 60-day survival (Odds Ratio [OR] 1.05, 95 %CI 0.90-1.23; p = 0.532)”

    Humanship fracture

    Sliding hip screw constructs are associated with early mobilisation, return to domicile and shorter length of stay when compared to an intramedullary nail: Results from the Scottish hip fracture audit

    Injury

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