ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2016
Clinical results of treatment of garden type 1 and 2 femoral neck fractures in patients over 70-year old.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03392285 (Undisplaced Femoral Neck Fractures), which is not on this map. Cited by 22 papers, 5 of them syntheses that pooled it.
What it found
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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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Undisplaced Femoral Neck Fractures: Treatment With Internal Fixation or Hip Arthroplasty
Who cites it
22 citing papers in PubMed, 5 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Preoperative posterior tilt can be a risk factor of fixation failure in nondisplaced femoral neck fracture: a systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Pooled it
- Long-Term Efficacy of Screw Fixation vs Hemiarthroplasty for Undisplaced Femoral Neck Fracture in Patients over 65 Years of Age: A Systematic Review and Meta-Analysis.Orthopaedic surgery · 2021Pooled it
- Complications after internal screw fixation of nondisplaced femoral neck fractures in elderly patients: A systematic review.Acta orthopaedica et traumatologica turcica · 2020Pooled it
- Outcomes of internal fixation versus hemiarthroplasty for elderly patients with an undisplaced femoral neck fracture: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2019Pooled it
- A systematic review of undisplaced femoral neck fracture treatments for patients over 65 years of age, with a focus on union rates and avascular necrosis.Journal of orthopaedic surgery and research · 2017Pooled it
- Comparison of functional outcome of bipolar hip arthroplasty and total hip replacement in displaced femoral neck fractures in elderly in a developing country: a 2-year prospective study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018Trial
- Outcomes of cannulated screw fixation for nondisplaced femoral neck fractures in patients older than 80 years: a retrospective cohort study.Journal of orthopaedic surgery and research · 2026Article
- Implant Choice of Internal Fixation for Stable Femoral Neck Fractures in Elderly: Cannulated Screw Fixation versus Helical Blade Cephalomedullary Nailing.Malaysian orthopaedic journal · 2025Article
- Improving Outcomes with Sequential Fixation Using Long-Threaded Screws for Valgus-Impacted Femoral Neck Fractures.Medicina (Kaunas, Lithuania) · 2024Article
- Article
- 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
- Management of Garden-I and II Femoral Neck Fractures: Perspectives on Primary Arthroplasty.Orthopedic research and reviews · 2024Review
- Article
- Comparison of the Effect of Rhombic and Inverted Triangle Configurations of Cannulated Screws on Internal Fixation of Nondisplaced Femoral Neck Fractures in Elderly Patients.Orthopaedic surgery · 2022Article
- [Comparison of effectiveness of femoral neck system and cannulate compression screw in treatment of femoral neck fracture in young and middle-aged patients].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Article
- Nomogram for predicting reoperation following internal fixation of nondisplaced femoral neck fractures in elderly patients.Journal of orthopaedic surgery and research · 2021Article
- Osteonecrosis of femoral head in young patients with femoral neck fracture: a retrospective study of 250 patients followed for average of 7.5 years.Journal of orthopaedic surgery and research · 2020Article
- Dynamic compression locking system versus multiple cannulated compression screw for the treatment of femoral neck fractures: a comparative study.BMC musculoskeletal disorders · 2020Article
- Classifications in Brief: Garden Classification of Femoral Neck Fractures.Clinical orthopaedics and related research · 2018Review
- Incidence of and Factors Influencing Femoral Neck Shortening in Elderly Patients After Fracture Fixation with Multiple Cancellous Screws.Medical science monitor : international medical journal of experimental and clinical research · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionWe retrospectively analyzed the clinical results of treatment of impacted or undisplaced femoral neck fractures (Garden types 1 and 2) by osteosynthesis in elderly patients >70-year old. MATERIALS AND
methodsWe retrospectively reviewed the radiological results of 52 patients who were followed up for at least 6 months from April 2002 to December 2008. The average age of the patients was 77.6 years (range 70-97 years), and 38 patients were females. The mean follow-up period was 11.7 months (range 6-19 months). Thirteen cases were Garden type 1 fractures, and 39 were Garden type 2 fractures. We assessed the relationships between the occurrence of complications and age, sex, Garden stage, bone mineral density (BMD), history of contralateral hip fracture, and any additional hip injury.
resultsMajor complications occurred in 18 cases (34.6 %), including nonunion (8 cases), osteonecrosis (6 cases), stress fracture of the subtrochanter (2 cases), excessive pull-out of a screw (1 case), and deep infection (1 case). The development of complications was associated with Garden stage 2, BMD, and additional hip injury. However, other factors were not associated with complications. Reoperations were performed in 16 cases (30.1 %), and 2 of the patients died during follow-up.
conclusionA relatively high rate of complications or reoperations developed after treatment of Garden 2 femoral neck fractures in senile patients >70 years of age with osteoporosis. Although internal fixation has been recommended in the literature for undisplaced femoral neck fractures, primary arthroplasty may be a better option for treatment of Garden type 2 fractures in elderly patients.
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