SynthesisJournal of orthopaedic surgery and research2017
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.
Synthesis in Journal of orthopaedic surgery and research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 1 of them a synthesis 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
56 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Complications after internal screw fixation of nondisplaced femoral neck fractures in elderly patients: A systematic review.Acta orthopaedica et traumatologica turcica · 2020Pooled it
- Comparison of percutaneous compression plate to parallel screws in the treatment of nondisplaced femoral neck fractures in elderly patients: a prospective, randomized study.Archives of orthopaedic and trauma surgery · 2023Trial
- Trial
- Outcomes after initial nonoperative management of undisplaced intracapsular femoral neck fractures: a five-year single-center cohort study with structured literature review.European geriatric medicine · 2026Review
- Comparing clinical outcomes and mortality rates of patients who sustained hip fractures managed non-operatively versus operatively over a 5-year period across the Republic of Ireland.Irish journal of medical science · 2026Article
- An Adams' Arch -based anatomical classification system guiding internal fixation strategies for non-displaced femoral neck fractures in elderly patients: a finite element analysis.BMC musculoskeletal disorders · 2026Article
- Development and testing of a prognostic scoring system for screw-positioning related femoral neck fracture failures for younger adults.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Does Preoperative CT Improve Outcomes in Femoral Neck Fracture Fixation? A Retrospective Study.Journal of clinical medicine · 2025Article
- Article
- Are There Benefits of Total Hip Arthroplasty with Dual-Mobility Cups Compared to Bipolar Hemiarthroplasty for Femoral Neck Fractures in the Geriatric Population? A Systematic Review and Meta-Analysis of Comparative Studies.Journal of clinical medicine · 2025Review
- Dynamic parallel traction theoretical model for the application and validation in femoral neck fractures - a finite element analysis.Journal of orthopaedics · 2025Article
- Weight-Bearing Approaches After Neck of Femur Fractures: A Narrative Review of Evidence and Outcomes.Cureus · 2025Review
- Comparable results for the Femoral Neck System and three-screw fixation in femoral neck fracture treatment.OTA international : the open access journal of orthopaedic trauma · 2025Article
- Displaced Femoral Neck Fractures Treated with Percutaneous Compression Plates in Elderly Individuals: An Effect Analysis Based on Imaging.Current medical imaging · 2025Article
- Analysis of Muscle Forces and Their Impact on Femoral Bone Stresses Using Response Surface Methodology (RSM).Biomedical engineering and computational biology · 2025Article
- Comparison of clinical efficacy between proximal femoral locking plate and cannulated compression screws for femoral neck fracture.Frontiers in surgery · 2025Article
- [Treatment of proximal femoral fractures : Principles, tips and tricks].Unfallchirurgie (Heidelberg, Germany) · 2024Review
- A three-dimensional measurement study of fracture displacement in Garden I femoral neck fracture: a retrospective study.BMC musculoskeletal disorders · 2023Article
- Article
- The incidence of focal osteonecrosis of the femoral head and its impact on conversion hip arthroplasty after screw fixation of femoral neck fractures: a multicenter retrospective study based on postoperative magnetic resonance imaging.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIt remains unclear whether conservative treatment should be used to treat the common undisplaced femoral neck fractures that develop in the elderly. Herein, we systematically review the rates of union and avascular necrosis after conservative and surgical treatment of undisplaced femoral neck fractures.
methodsWe searched the EMBASE, PubMed, OVID, Cochrane Library, Web of Science, and Scopus databases for randomized controlled trials or observational studies that assessed the outcomes of conservative or surgical treatments of undisplaced femoral neck fractures. No language or publication year limitation was imposed. Statistical analyses were performed with the aid of the chi-squared test. We evaluated the quality of each publication and the risk of bias.
resultsTwenty-nine studies involving 5071 patients were ultimately included; 1120 patients were treated conservatively and 3951 surgically. The union rates were 68.8% (642/933) and 92.6% (635/686) in the former and latter groups, respectively (p < 0.001). The avascular necrosis rate in the conservatively treated group was 10.3% (39/380), while it was 7.7% (159/2074) in the surgically treated group (p = 0.09).
conclusionsSurgery to treat undisplaced femoral neck fractures was associated with a higher union rate and a tendency toward less avascular necrosis than conservative treatment.
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