{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:09:19Z","timestamp":1777943359762,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2016,8,1]],"date-time":"2016-08-01T00:00:00Z","timestamp":1470009600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2016,8]]},"abstract":"\n Purpose<\/jats:title>\n To compare dynamic hip screw (DHS) fixation with multiple screw fixation for intracapsular hip fractures in terms of complications and conversion to hemiarthroplasty or total hip arthroplasty (THA).<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Records of 52 884 patients aged \u226550 years who underwent internal fixation using a dynamic hip screw (n=18 014, 34.1%) or multiple screws (n=34 870, 65.9%) for intracapsular femoral neck fracture from September 2007 to September 2013 were extracted from the hospital admission database that covers all admissions to the National Health Service hospitals in England using the ICD-10 and OPCS-4 codes. Gender, age, and Charlson comorbidity score of each patient were recorded, as were complications at specific time intervals and revision to hemiarthroplasty or THA at one and 4 years.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Compared with DHS fixation, multiple screw fixation resulted in shorter hospital stay (15 vs. 13 days, p<0.001) and lower rates of 30-day myocardial infarction (2% vs. 1.5%, p=0.022), 30-day lower respiratory tract infection (12.4% vs. 10.6%, p=0.001), 90-day mortality (10.4% vs. 8.6%, p=0.001), and avascular necrosis (0.1% vs. 0.06%, p=0.032), but a higher rate of conversion to hemiarthroplasty or THA at one or 4 years (all p<0.001).<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Multiple screw fixation for intracapsular hip fracture was associated with a higher conversion rate to hemiarthroplasty or THA at one and 4 years, compared with DHS fixation.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/1602400204","type":"journal-article","created":{"date-parts":[[2017,1,21]],"date-time":"2017-01-21T12:28:36Z","timestamp":1485001716000},"page":"146-149","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Dynamic Hip Screw Fixation versus Multiple Screw Fixation for Intracapsular Hip Fracture"],"prefix":"10.1177","volume":"24","author":[{"given":"Prithee","family":"Jettoo","sequence":"first","affiliation":[{"name":"Northern Deanery Trauma & Orthopaedic Training Scheme, Newcastle Upon Tyne, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip","family":"James","sequence":"additional","affiliation":[{"name":"CHKS Healthcare Intelligence Services, Warwickshire, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,8,30]]},"reference":[{"key":"bibr1-1602400204","unstructured":"The blue book: Guidelines for the care of patients with fragility fractures; 2007. Available from: http:\/\/www.nhfd.co.uk\/003\/hipfractureR.nsf\/6ec433ed9efaa78e802572e3003a3517\/74ae78030e6ffa3a8025779f0041fbcc\/$FILE\/Blue%20Book.pdf. Accessed 6 December 2014."},{"key":"bibr2-1602400204","doi-asserted-by":"publisher","DOI":"10.1007\/PL00004148"},{"key":"bibr3-1602400204","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200503000-00001"},{"key":"bibr4-1602400204","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-005-0028-0"},{"key":"bibr5-1602400204","doi-asserted-by":"publisher","DOI":"10.3109\/17453679809117614"},{"key":"bibr6-1602400204","unstructured":"Connecting for health: pseudonymisation implementation project. Available at www.connectingforhealth.nhs.uk\/systemsandservices\/sus\/delivery\/pseudo. Accessed 7 December 2014."},{"key":"bibr7-1602400204","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"bibr8-1602400204","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.E.00535"},{"key":"bibr9-1602400204","unstructured":"The National Hip Fracture Database. Available at: http:\/\/www.nhfd.co.uk\/. Accessed 14 December 2014."},{"key":"bibr10-1602400204","doi-asserted-by":"publisher","DOI":"10.1007\/BF02598997"},{"key":"bibr11-1602400204","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38643.663843.55"},{"key":"bibr12-1602400204","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7418.771"},{"key":"bibr13-1602400204","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcs004"},{"key":"bibr14-1602400204","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200309000-00004"},{"key":"bibr15-1602400204","doi-asserted-by":"publisher","DOI":"10.3109\/17453678709146468"},{"key":"bibr16-1602400204","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(86)90322-0"},{"key":"bibr17-1602400204","doi-asserted-by":"crossref","unstructured":"Parker MJ, Stockton G. Internal fixation implants for intracapsular proximal femoral fractures in adults. Cochrane Database Syst Rev 2001;4:CD001467.","DOI":"10.1002\/14651858.CD001467"},{"key":"bibr18-1602400204","unstructured":"Audit Commission. PbR data assurance framework 2008\/09. Key messages from year 2 of the National Clinical Coding Audit Programme. Available at: http:\/\/www.audit-commission.gov.uk\/SiteCollectionDocuments\/AuditCommissionReports\/NationalStudies\/20090827pbrdataassuranceframework0809rep.pdf. Accessed 14 December 2014."}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1602400204","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1602400204","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:23:46Z","timestamp":1777706626000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1602400204"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,8]]},"references-count":18,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,8]]}},"alternative-id":["10.1177\/1602400204"],"URL":"https:\/\/doi.org\/10.1177\/1602400204","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,8]]}}}