ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2013
Factors associated with avascular necrosis of the femoral head and nonunion in patients younger than 65 years with displaced femoral neck fractures treated with reduction and internal fixation.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Effect of different types of internal fixation on the incidence of femoral head necrosis in adult femoral neck fractures: a single-arm rate and network meta-analysis.European journal of medical research · 2025Pooled it
- The Risk of Avascular Necrosis Following the Stabilization of Femoral Neck Fractures: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022Pooled it
- Risk factors associated with osteonecrosis of femoral head after internal fixation of femoral neck fracture:a systematic review and meta-analysis.BMC musculoskeletal disorders · 2019Pooled it
- Patients With Femoral Neck Fractures Are at Risk for Conversion to Arthroplasty After Internal Fixation: A Machine-learning Algorithm.Clinical orthopaedics and related research · 2022Trial
- Age-stratified analysis of delayed fixation outcomes of femoral neck fracture among adults: A retrospective study at a tertiary care trauma center.The Journal of international medical research · 2025Article
- Investigation of Novel Radiological Parameters to Predict Treatment Failure and Ideal Surgical Interventions in Young Femoral Neck Fractures Treated with Triple Cannulated Screw: A Retrospective Analysis.Indian journal of orthopaedics · 2024Article
- The Impact of Additional Fractures and Polytrauma on Complications in Patients Undergoing Femoral Neck Fracture Fixation.The Iowa orthopaedic journal · 2024Article
- Treatment of Pauwels type III femoral neck fracture with medial femoral neck support screw: a biomechanical and clinical study.Scientific reports · 2021Article
- Article
- Development and validation of a predictive nomogram for postoperative osteonecrosis of the femoral head with cannulated screws fixation.Annals of translational medicine · 2021Article
- Bioinformatics analysis of microRNA linked to ubiquitin proteasome system in traumatic osteonecrosis of the femoral head.Medicine · 2020Observational
- [Analysis of risk factors for necrosis of femoral head after internal fixation surgery in young and mid-aged patients with femoral neck fracture].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2020Article
- The best cited articles of the European Journal of Orthopaedic Surgery and Traumatology (EJOST): a bibliometric analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018Article
- Femur neck fracture in young adults, is it really an urgent surgery indication: retrospective clinical study.The Pan African medical journal · 2018Article
- Tips and tricks for ORIF of displaced femoral neck fractures in the young adult patient.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2016Review
- A cohort study of 4,190 patients treated with low-intensity pulsed ultrasound (LIPUS): findings in the elderly versus all patients.BMC musculoskeletal disorders · 2015Article
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Authors and funding
5 authors.
Funding
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Abstract
introductionFew studies have evaluated treatment of displaced femoral neck fractures in patients younger than 65 years, and risk factors for AVN or nonunion have not been clearly delineated within this age range.
methodTo determine factors associated with avascular necrosis of the femoral head (AVN) and nonunion in patients younger than 65 years with displaced femoral neck fractures treated with reduction and internal fixation, we conducted a retrospective study of 29 displaced femoral neck fractures in 29 consecutive patients treated at a single institution. The influence of age, trauma energy, open reduction, and time from fracture to treatment on development of AVN and nonunion was evaluated.
resultsPatients who developed AVN were significantly older and suffered lower energy trauma than cases without AVN. No recorded variables were associated with nonunion. Logistic regression determined that only age was independently associated with AVN. Age was a good predictor for developing AVN, with a C statistics of 0.861, and a best cutoff determined at 53.5 years.
conclusionPatients between 53.5 and 65 years presented a higher risk of AVN. A primary arthroplasty should be considered in this subgroup.
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