ArticleJournal of orthopaedic trauma2018
Factors Associated With Revision Surgery After Internal Fixation of Hip Fractures.
Article in Journal of orthopaedic trauma, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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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.
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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.
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Who cites it
20 citing papers in PubMed, 50 citations in OpenAlex.
- 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
- Not All Garden-I and II Femoral Neck Fractures in the Elderly Should Be Fixed: Effect of Posterior Tilt on Rates of Subsequent Arthroplasty.The Journal of bone and joint surgery. American volume · 2019Trial
- Article
- Risk assessment of femoral head AVN following reduction and fixation of intracapsular hip fractures in patients younger than 65 years over a 10 year follow up.Scientific reports · 2025Article
- Article
- Outcomes of internal fixation with Femoral Neck System (FNS) for intracapsular femoral neck fractures.OTA international : the open access journal of orthopaedic trauma · 2024Article
- Health economics for intra-capsular hip fractures undertaking fixation.World journal of orthopedics · 2024Article
- Hemiarthroplasty vs. internal fixation for nondisplaced femoral neck fracture in mainland China: a cost-effectiveness analysis.Frontiers in surgery · 2024Article
- Is It Safe to Resume Direct Oral Anticoagulants upon Discharge after Hip Fracture Surgery? A Retrospective Study.Journal of clinical medicine · 2023Article
- Article
- First clinical results of 1-year follow-up of the femoral neck system for internal fixation of femoral neck fractures.Archives of orthopaedic and trauma surgery · 2022Article
- Etiological spectrum and treatment outcome of wound infection in patients with open tibia and fibula fractures.American journal of translational research · 2022Article
- Intraoperative monitoring of femoral head perfusion in adult femoral neck fractures.OTA international : the open access journal of orthopaedic trauma · 2021Article
- Delays to Surgery and Coronal Malalignment Are Associated with Reoperation after Open Tibia Fractures in Tanzania.Clinical orthopaedics and related research · 2020Article
- Fractured neck of femur: a review of three seminal papers and their implications to clinical management.Bone & joint open · 2020Article
- Factors that influence the complications and outcomes of femoral neck fractures treated by cannulated screw fixation.Scientific reports · 2020Article
- Using Patient-Reported Outcomes to Predict Revision Arthroplasty Following Femoral Neck Fracture: Enhancing the Value of Clinical Registries through Data Linkage.International journal of environmental research and public health · 2019Article
- [Effectiveness of F-shaped screw fixation technique in treatment of Pauwels typeZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2018Article
- Hip Fracture Nonunions: Diagnosis, Treatment, and Special Considerations in Elderly Patients.Advances in orthopedics · 2018Review
- Article
Corrections and comments
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Authors and funding
12 authors at 8 institutions in 3 countries.
Funding
Abstract
backgroundFemoral neck fractures are associated with high rates of revision surgery after management with internal fixation. Using data from the Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) trial evaluating methods of internal fixation in patients with femoral neck fractures, we investigated associations between baseline and surgical factors and the need for revision surgery to promote healing, relieve pain, treat infection or improve function over 24 months postsurgery. Additionally, we investigated factors associated with (1) hardware removal and (2) implant exchange from cancellous screws (CS) or sliding hip screw (SHS) to total hip arthroplasty, hemiarthroplasty, or another internal fixation device.
methodsWe identified 15 potential factors a priori that may be associated with revision surgery, 7 with hardware removal, and 14 with implant exchange. We used multivariable Cox proportional hazards analyses in our investigation.
resultsFactors associated with increased risk of revision surgery included: female sex, [hazard ratio (HR) 1.79, 95% confidence interval (CI) 1.25-2.50; P = 0.001], higher body mass index (for every 5-point increase) (HR 1.19, 95% CI 1.02-1.39; P = 0.027), displaced fracture (HR 2.16, 95% CI 1.44-3.23; P < 0.001), unacceptable quality of implant placement (HR 2.70, 95% CI 1.59-4.55; P < 0.001), and smokers treated with cancellous screws versus smokers treated with a sliding hip screw (HR 2.94, 95% CI 1.35-6.25; P = 0.006). Additionally, for every 10-year decrease in age, participants experienced an average increased risk of 39% for hardware removal.
conclusionsResults of this study may inform future research by identifying high-risk patients who may be better treated with arthroplasty and may benefit from adjuncts to care (HR 1.39, 95% CI 1.05-1.85; P = 0.020). LEVEL OF EVIDENCE: Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.
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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.