Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH): a multi-centre randomised trial comparing sliding hip screws and cancellous screws on revision surgery rates and quality of life in the treatment of femoral neck fractures

ISRCTN ISRCTN25524122
DOI https://doi.org/10.1186/ISRCTN25524122
ClinicalTrials.gov number NCT00761813
Secondary identifying numbers MCT-87771
Submission date
13/06/2008
Registration date
13/06/2008
Last edited
21/10/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Injury, Occupational Diseases, Poisoning
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Study website

Contact information

Dr Mohit Bhandari
Scientific

McMaster University
293 Wellington Street North
Suite 110
Hamilton, Ontario
L8L 8E7
Canada

Phone +1 905 527 4322 ext. 44490
Email bhandam@mcmaster.ca

Study information

Study designSingle blind (study participant, outcome assessor, data analyst, adjudication committee), randomised trial using minimisation
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleFixation using Alternative Implants for the Treatment of Hip fractures (FAITH): a multi-centre randomised trial comparing sliding hip screws and cancellous screws on revision surgery rates and quality of life in the treatment of femoral neck fractures
Study acronymFAITH
Study objectivesWe hypothesise that sliding hip screws will have lower rates of revision surgery (primary outcome) and higher functional outcome scores (secondary outcome) compared with cancellous screws.
Ethics approval(s)Ethics approval received from the Research Ethics Board of McMaster University on the 23rd November 2006 (ref: 06-402).
Health condition(s) or problem(s) studiedFemoral neck fractures
InterventionSliding hip screw fixation versus multiple cancellous screw fixation.
Intervention typeOther
Primary outcome measureRevisions surgery as measured at 12 months.
Secondary outcome measures1. Health related quality of life (12-item short form health survey [SF-12]), measured post-operatively at 1 week, 2 weeks, 3 months, 6 months, 9 months and 12 months
2. Functional outcomes (Western Ontario and McMaster Osteoarthritis Index [WOMAC]), measured post-operatively at 1 week, 2 weeks, 3 months, 6 months, 9 months and 12 months
3. Health outcomes (European quality of life instrument [EQ-5D]), measured post-operatively at 1 week, 2 weeks, 3 months, 6 months, 9 months and 12 months
4. Complications, including mortality, avascular necrosis, non-union, implant breakage or failure, and infection (i.e., superficial and deep). Measured post-operatively at 1 week, 2 weeks, 3 months, 6 months, 9 months and 12 months.
Overall study start date01/06/2008
Completion date01/01/2010

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants80
Total final enrolment1108
Key inclusion criteria1. Adult men or women aged 50 years and older (with no upper age limit)
2. Fracture of the femoral neck confirmed with either anteroposterior and lateral hip radiographs, computed tomography, or magnetic resonance imaging (MRI)
3. Any degree of displacement (i.e., undisplaced or displaced) of the femoral neck fracture that can be closed reduced
4. Operative treatment of displaced fractures within two days (i.e., 48 hours) of presenting to the emergency room
5. Operative treatment of undisplaced fractures within 7 days of presenting to the emergency room
6. Patient was ambulatory prior to fracture, though they may have used an aid such as a cane or a walker
7. Anticipated medical optimalisation for operative fixation of the hip
8. Provision of informed consent by patient or legal guardian
9. No other major trauma
10. Low energy fracture (defined as a fall from standing height)
Key exclusion criteria1. Patients not suitable for internal fixation (i.e., severe osteoarthritis, rheumatoid arthritis, or pathologic fracture)
2. Associated major injuries of the lower extremity (i.e., ipsilateral or contralateral fractures of the foot, ankle, tibia, fibula, knee, or femur; dislocations of the ankle, knee, or hip; or femoral head defects or fracture)
3. Retained hardware around the affected hip
4. Infection around the hip (i.e., soft tissue or bone)
5. Patients with disorders of bone metabolism except osteoporosis (i.e., Paget's disease, renal osteodystrophy, osteomalacia)
6. Moderate or severe cognitively impaired patients (i.e., Mini-Mental State Examination (MMSE) Six Item Screener with 3 or more errors)
7. Patients with Parkinson's disease (or dementia) severe enough to increase the likelihood of falling or severe enough to compromise rehabilitation
8. Likely problems, in the judgment of the investigators, with maintaining follow-up (i.e., patients with no fixed address, report a plan to move out of town, or intellectually challenged patients without adequate family support)
Date of first enrolment01/06/2008
Date of final enrolment01/01/2010

Locations

Countries of recruitment

  • Canada

Study participating centre

McMaster University
Hamilton, Ontario
L8L 8E7
Canada

Sponsor information

McMaster University (Canada)
University/education

1200 Main Street West
Hamilton, Ontario
L8N 3Z5
Canada

Website http://www.mcmaster.ca/
ROR logo "ROR" https://ror.org/02fa3aq29

Funders

Funder type

Research organisation

Canadian Institutes of Health Research (CIHR) (Canada) - http://www.cihr-irsc.gc.ca (ref: MCT-87771)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Other publications design and rationale 26/06/2014 21/10/2019 Yes No
Results article preplanned secondary analysis results 16/10/2019 21/10/2019 Yes No
Results article results 01/04/2017 21/10/2019 Yes No

Editorial Notes

21/10/2019: The following changes were made:
1. Publication reference added.
2. The final enrolment number was added from the reference.
3. The NCT number has been added.