Evidence brief
Fracture Fixation in the Operative Management of Hip Fractures (FAITH)
No significant difference between sliding hip screw and cancellous screws for femoral neck fractures
Revision surgery rates: 8.5% (SHS) vs 10.6% (cancellous screws)
1,108 patients randomized across 81 centers in 8 countries
Low-energy femoral neck fractures in patients ≥50 years
24-month follow-up
The FAITH trial demonstrated clinical equipoise between sliding hip screw and cancellous screws for femoral neck fracture fixation. The choice can be based on surgeon preference, implant availability, and patient factors rather than superiority of one method.
When asked about femoral neck fracture fixation: 'Both SHS and cancellous screws are acceptable based on FAITH trial - no significant difference in revision rates.' Know the patient population (low-energy, ≥50 years) and sample size (1,108 patients).
Level I
Systematic review of RCTs or high-quality RCT