The impact of intramedullary (in the bone) nails versus sliding hip screws on health-related quality of life in patients with hip fracture

INTERVENTION: The interventional treatment used in the study is an intramedullary nail. The implant is a short, interlocking intramedullary device that consists of a sliding lag screw, which passes through a short intramedullary nail. The duration of the implant procedure is approximately 1 hour. The implant is intended to remain in place permanently. CONDITION: Intertrochanteric Hip Fractures PRIMARY OUTCOME: Health‐related Quality of Life SECONDARY OUTCOME: Fracture healing rates Fracture‐related adverse events, for example failure of bone to repair, pain at site of hip fracture, fall caused by inability to use hip properly. These types of events will be assessed by patient reporting and analysis of X‐rays. Health‐related Quality of Life Revision surgery rates INCLUSION CRITERIA: 1.Adult men or women aged 18 years and older (with no upper age limit). 2.An intertrochanteric fracture (stable or unstable), AO Type 31‐A1 or 31‐A2, confirmed with anteroposterior and lateral hip radiographs, computed tomography, or magnetic resonance imaging (MRI). 3.Low energy fracture (defined as a fall from standing height). 4.No other major trauma. 5.Patient was ambulatory prior to fracture, though they may have used an aid such as a cane or a walker. 6.Anticipated medical optimization of the patient for operative fixation of the proximal femur. 7.Operative treatment within 7 days after the trauma.(Operative treatment should take place as soon as possible as permitted by each institution's standard of care.) 8.Provision of informed consent by patient or proxy.