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7 years (95% confidence intervals (CI) 2.2�C3.1 years) and 3.2 years after screw fixation (95% CI 2.5�C3.9 years). The difference between these two groups was not statistically significant (rank test: p?=?0.424; hazard ratio: 1.083, 95% CI 0.891�C1.315). The mortality for the first 11 years from surgery is given in Fig. 1. The fracture and surgery related complications are listed in Table 1. This includes complications encountered after revision surgery. Regarding re-operations for the two groups these are listed in Table 2. The implant survival rate for the hemiarthroplasty was 214/229 (93.4%), whilst that for internal fixation was 140/226 (61.9%). The time to revision is as detailed in Fig. 2. Those patients who just had removal of the internal fixation Sunitinib cell line implant were excluded from this analysis. The difference between the two Temozolomide procedures was significant (log rank test: p?Levetiracetam during the follow-up period. None of the differences between groups was statistically significant except that at 2 years after injury, with less reduction in mobility for those treated by internal fixation (p-value 0.03). Fig. 5 gives the percentage of patients using the same walking aids within their home as used at the time of the injury for the follow-up periods. There was no statistical significance between groups. Fig. 6 gives the percentage of patients who were living at the same residential state as immediately prior to the injury. There was no statistically significant difference between groups at any of the time periods. To date there have been 17 published randomised controlled trials that have compared internal fixation with arthroplasty for intracapsular hip fractures.6 This study is the largest to date and with this publication, the study with the longest and most complete follow-up of surviving patients. The aim was to continue follow-up until only 10% of the original participants were alive. This was to determine if there were any notable late complications with either of the treatment methods. The results of this study clearly confirm that neither treatment method has any late sequel. As shown in Fig. 2, there were very few secondary operations after 3 years and for internal fixation the majority of revision operations were within the first year from injury. Fig. 3, Fig. 4, Fig. 5?and?Fig.