SynthesisDer Orthopade2017
Multiple cannulated screws vs. dynamic hip screws for femoral neck fractures : A meta-analysis.
Synthesis in Der Orthopade, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 5 of them syntheses that pooled 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.
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
28 citing papers in PubMed, 5 syntheses or guidelines pooled it, 88 citations in OpenAlex.
- Comparative efficacy and safety of three internal fixation strategies for femoral neck fractures: a network meta-analysis.Frontiers in medicine · 2026Pooled it
- Cannulated screws versus dynamic hip screw versus hemiarthroplasty versus total hip arthroplasty in patients with displaced and non-displaced femoral neck fractures: a systematic review and frequentist network meta-analysis of 5703 patients.Journal of orthopaedic surgery and research · 2023Pooled it
- Comparison of femoral neck system versus cannulated screws for treatment of femoral neck fractures: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2023Pooled it
- Dynamic hip screws versus cannulated screws for femoral neck fractures: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2020Pooled it
- Sliding hip screws versus cancellous screws for femoral neck fractures: a systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Pooled it
- Early mechanical failure patterns after femoral neck fixation with the femoral neck system and dynamic hip screw.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Dynamic hip screw versus cannulated cancellous screws fixation for osteosynthesis of femoral neck fractures in adults: a retrospective comparative study.International journal of burns and trauma · 2026Article
- 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
- Comparison of dynamic compression system versus multiple cancellous screws in the treatment of femoral neck fractures in young adults.Journal of orthopaedic surgery and research · 2024Article
- The small screw-apex distance is potentially associated with femoral head osteonecrosis in adults with femoral neck fractures treated by closed reduction and percutaneous 3 parallel cannulated screws.BMC musculoskeletal disorders · 2024Article
- Peri-Implant Fracture Following Prior Fixation of Femoral Neck Fracture Using the Femoral Neck System: A Case Report.Journal of orthopaedic case reports · 2024Article
- Treatment of non-displaced intracapsular femoral neck fractures with dynamic hip and cannulated screws resulting in avascular necrosis: A comparative study of complications.Saudi medical journal · 2024Article
- Outcomes of three cannulated screws in a modified triangular transverse configuration for fixation of intra-capsular femoral neck fractures.Musculoskeletal surgery · 2023Article
- What is the best method of fixation for minimally displaced subcapital neck of femur fractures? A systematic review.Journal of orthopaedics · 2023Review
- Superior short-term outcomes of FNS in combination with a cannulated screw in treating femoral neck fractures.BMC musculoskeletal disorders · 2023Article
- Choose the appropriate implantation position of the Femoral Neck System in the femoral neck: a finite-element analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Incidence and Risk Factors of Short Axial Length of the Proximal Femur: A Caution in the Use of Femoral Neck System in Patients with Garden Type I/II Femoral Neck Fractures.Clinics in orthopedic surgery · 2023Article
- Finite element comparative analysis of three different internal fixation methods in the treatment of Pauwels type III femoral neck fractures.BMC musculoskeletal disorders · 2022Article
- Article
- Biomechanical comparison of the femoral neck system versus InterTan nail and three cannulated screws for unstable Pauwels type III femoral neck fracture.Biomedical engineering online · 2022Article
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 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveVarious fixation devices have been reported for stabilization of femoral neck fractures. Numerous studies on arthroplasty versus internal fixation devices in the treatment of femoral neck fractures have been performed, but the optimal approach for internal fixation has not been analyzed.
methodsA meta-analysis and system evaluation were performed to compare clinical effects. We searched PubMed, Embase, Cochrane Library, and Web of Science
resultsIn this meta-analysis, 592 femoral neck fractures from 7 studies were assessed, and the meta-analysis results indicated significant differences in reoperation (RR 1.44, 95% confidence interval [CI] 1.10-1.88, P = 0.008) and failure rate (RR 2.28, 95% CI 1.10-4.72, P = 0.03), but no significant differences in the rate of postoperative complications between the MCS group and DHS group.
conclusionsDHS fixation has a larger skin incision and more soft tissue dissection, but it is associated with lower rates of fixation failure, reoperation, and overall rate of postoperative complications, and its use in elderly patients with osteoporosis is still recommended due to simplicity, efficacy, and high overall success rate. Multicenter RCTs with large samples are needed to better understand the comparative efficacy and safety of MCS and DHS in femoral neck fractures of restricted fracture type.
Indexed as
Identifiers
What OpenQuestion holds
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.