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Resolving controversies in hip fracture care : the need for large collaborative trials in hip fractures

journal contribution
posted on 2009-07-01, 00:00 authored by M Bhandari, S Sprague, E Schemitsch, International Hip Fracture Research Collaborative, Richard PageRichard Page
Summary: Hip fractures are a significant cause of morbidity and mortality worldwide and the burden of disability associated with hip fractures globally vindicates the need for high-quality research to advance the care of patients with hip fractures. Historically, large, multi-centre randomized controlled trials have been rare in the orthopaedic trauma literature. Similar to other medical specialties, orthopaedic research is currently undergoing a paradigm shift from single centre initiatives to larger collaborative groups. This is evident with the establishment of several collaborative groups in Canada, in the United States, and in Europe, which has proven that multi-centre trials can be extremely successful in orthopaedic trauma research.

Despite ever increasing literature on the topic of his fractures, the optimal treatment of hip ftractures remains unknown and controversial. To resolve this controversy large multi-national collaborative randomized controlled trials are required. In 2005, the International Hip Fracture Research Collaborative was officially established following funding from the Canadian Institute of Health Research International Oppurtunity Program with the mandate of resolving controversies in hip fracture management. This manuscript will describe the need, the information, the organization, and the accomplishments to date of the International Hip Fracture Research Collaborative.



Journal of orthopaedic trauma






479 - 484


Lippincott Williams & Wilkins


Philadelphia, Pa.





Publication classification

C1.1 Refereed article in a scholarly journal

Copyright notice

2009, Lippincott Williams & Wilkins