Trial Design 

This is multi centre, multi-surgeon, parallel, two arm, randomised controlled trial. It is embedded within the WHiTE Comprehensive Cohort Study. The study includes a two-way superiority comparison between X-Bolt dynamic plating system and SHS. The trial is expected to last a total of 38 months.

It is expected that participant recruitment will take 21 months and final follow-up will be at 12 months post-surgery. Based upon 2013 data in the National Hip Fracture Database the involved units perform approximately 800 of such procedures per year.