Evidence map›Paper›PMID 28914130›Full record

ArticleActa orthopaedica2018

High failure rate after internal fixation and beneficial outcome after arthroplasty in treatment of displaced femoral neck fractures in patients between 55 and 70 years.

Stefan Bartels, Jan-Erik Gjertsen, Frede Frihagen, Cecilia Rogmark, Stein Erik Utvåg

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Acta orthopaedica, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 6 pooled it
6.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 6 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Screw fixation versus hemiarthroplasty for undisplaced femoral neck fractures in the elderly: a meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
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  5. Sliding hip screws versus cancellous screws for femoral neck fractures: a systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019
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  12. 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 · 2025
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  14. Changing treatment of hip fractures in Finland.Archives of orthopaedic and trauma surgery · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Stefan Bartelsa Department of Orthopaedic Surgery , Akershus University Hospital , Lørenskog , Norway.
Jan-Erik Gjertsenb Norwegian Hip Fracture Register, Department of Orthopaedic Surgery , Haukeland University Hospital , Bergen.
Frede Frihagend Department of Orthopaedic Surgery , Oslo University Hospital , Oslo , Norway.
Cecilia Rogmarke Department of Orthopaedics , Skåne University Hospital, Lund University , Malmö , Sweden.
Stein Erik Utvåga Department of Orthopaedic Surgery , Akershus University Hospital , Lørenskog , Norway.
Akershus University Hospital · NOHaukeland University Hospital · NOOslo University Hospital · NOSkåne University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose - The treatment of patients between 55 and 70 years with displaced intracapsular femoral neck fracture remains controversial. We compared internal fixation (IF), bipolar hemiarthroplasty (HA) and total hip arthroplasty (THA) in terms of mortality, reoperations and patient-reported outcome by using data from the Norwegian Hip Fracture Register. Patients and methods - We included 2,713 patients treated between 2005 and 2012. 1,111 patients were treated with IF, 1,030 with HA and 572 patients with THA. Major reoperations (defined as re-osteosynthesis, secondary arthroplasty, exchange, or removal of prosthesis components and Girdlestone procedure), patient-reported outcome measures (satisfaction, pain, and health-related quality of life (EQ5D) after 4 and 12 months), 1-year mortality, and change in treatment methods over the study period were investigated. Results - Major reoperations occurred in 27% after IF, 3.8% after HA and 2.8% after THA. 549 patients (20% of total study population) answered both questionnaires. Compared with IF, patients treated with THA were more satisfied after 4 and 12 months, reported less pain after 4 months and 12 months, had a higher EQ5D-index score after 4 months and 12 months, and EQ-VAS score after 4 months. Compared with IF, patients treated with HA were more satisfied and reported less pain after 4 months. EQ5D-index and EQ-VAS were similar. Patients treated with HA had higher 1-year mortality and had more comorbidities than both the THA and IF group. All these differences were statistically and clinically significant. Interpretation - This study showed high reoperation rate after IF and better patient-reported outcome after both THA and HA with medium follow-up. Patients selected for HA represented a frailer group than patients treated with THA or IF.

Indexed as

Fracture Fixation, InternalAgedArthroplasty, Replacement, HipFemaleFemoral Neck FracturesHemiarthroplastyHumansMaleMiddle AgedNorwayRegistriesReoperationSurveys and QuestionnairesTreatment FailureTreatment Outcome

Identifiers

PMID28914130
PMCPMC5810833
OpenAlexW2755011740

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.