ReviewDeutsches Arzteblatt international2010
Fractured neck of femur--internal fixation versus arthroplasty.
Review in Deutsches Arzteblatt international, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Hemiarthroplasty through SuperPATH versus hemiarthroplasty through conventional approaches in patients with femoral neck fractures: a systematic review and meta-analysis of randomized controlled trials.Scientific reports · 2023Pooled it
- Femoral neck fracture combined with anterior dislocation of the femoral head: injury mechanism and proposed novel classification.BMC musculoskeletal disorders · 2021Pooled it
- [Surgical treatment variation of displaced femoral neck fractures in certified centers for geriatric trauma DGU® and arthroplasty centers in Germany].Unfallchirurgie (Heidelberg, Germany) · 2025Article
- AI-assisted treatment decisions for femoral neck fractures: a simulated assessment of ChatGPT-4's accuracy and comprehensiveness.Langenbeck's archives of surgery · 2025Article
- Therapy aspects of peri-implant femoral fractures-a retrospective analysis of 64 patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- The Curious Case of the Flying Femoral Head - A Neck of Femur Fracture-Dislocation with Intrapelvic Lie of the Fractured Femoral Head.Journal of orthopaedic case reports · 2024Article
- Non-cannulated versus cannulated cancellous screws for the internal fixation of femoral neck fractures in osteoporotic patients: A single-blind randomized clinical trial.Journal of orthopaedics · 2024Article
- SuperPATH-Current Status of Evidence and Further Investigations: A Scoping Review and Quality Assessment.Journal of clinical medicine · 2023Article
- The consequences of out-of-hours hip fracture surgery: insights from a retrospective nationwide study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- The association of mental health disease with perioperative outcomes following femoral neck fractures.Journal of clinical orthopaedics and trauma · 2019Article
- Review
- How do Orthopedic Surgeons Manage Displaced Femoral Neck Fracture in the Middle-Aged Patient? Brazilian Survey of 78 Orthopaedic Surgeons.Revista brasileira de ortopedia · 2019Article
- Anterior hip dislocation with ipsilateral displaced fracture neck of femur treated by open reduction and internal fixation: case report and review of the literature.Strategies in trauma and limb reconstruction · 2017Article
- Clinical results of treatment of garden type 1 and 2 femoral neck fractures in patients over 70-year old.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2016Article
- [Fracture arthroplasty of femoral neck fractures].Der Unfallchirurg · 2016Review
- Result of Internal Fixation for Stable Femoral Neck Fractures in Elderly Patients.Hip & pelvis · 2016Article
- Internal FixationThe open orthopaedics journal · 2016Article
- [Hip fracture prosthetics in German trauma surgery. State of the art].Der Unfallchirurg · 2015Article
- Increased risk of major depression in the three years following a femoral neck fracture--a national population-based follow-up study.PloS one · 2014Article
- A simple measure to improve the rates of thromboprophylaxis prescription post surgical fixation of neck of femur fractures in a district general hospital.BMJ quality improvement reports · 2014Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSurgery is the treatment of choice for fractured neck of femur. For middle-aged patients (aged ca. 40 to 65), there is considerable debate over the indications for arthroplasty or internal fixation. The choice of surgical technique varies widely from one region to another. In this article, we discuss the main criteria that should be used in making this decision.
methodsWe selectively reviewed the literature on the diagnosis and treatment of fractured neck of femur, including the current guideline of the German Society for Trauma Surgery (Deutsche Gesellschaft für Unfallchirurgie, DGU) and recent findings from the field of health services research.
resultsThe treatment of middle-aged patients with dislocated fractures should be based on rational decision-making. The patient's level of activity before the accident should be judged in terms of his or her previous mobility, independence in daily activities, and mental status. Internal fixation is recommended if the fracture can be adequately repositioned, the bone is of good quality, and there is no evidence of osteoarthritis. Fractures that are more than 24 hours old should be treated with total hip arthroplasty. Hemiprostheses are appropriate for very old patients. Physically frail, bedridden, and/or demented patients should undergo internal fixation of the fracture. For non-displaced or impacted fractures, functional treatment (i.e., prophylactic securing of the fracture with screws or nails) is indicated. Rapid diagnosis and a short time in bed before surgery lower the rate of complications. Internal fixation with preservation of the femoral head should ideally be performed within the first 6 hours of trauma, and within the first 24 hours at most.
conclusionDespite the increasing scarcity of resources, treatment should still be based on well-founded clinical guidelines. Minimally invasive surgery enables better function in the early postoperative phase and can thereby lower complication rates. An interdisciplinary concept for the postoperative care of elderly patients also has a major effect on the outcome.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.