Evidence map›Paper›PMID 30540670›Full record

ReviewJournal of orthopaedic trauma2019

Novel Treatment Options for the Surgical Management of Young Femoral Neck Fractures.

Ashley E Levack, Elizabeth B Gausden, Aleksey Dvorzhinskiy, Dean G Lorich, David L Helfet

Abstract readReview
In one paragraph

Review in Journal of orthopaedic trauma, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 41 citations in OpenAlex.

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  8. Fatigue testing of a self-compression screw model in Pauwels III fracture: an in vitro analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
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  18. Fractures of the Proximal Femur in Childhood: A Review.Indian journal of orthopaedics · 2021
    Review
  19. [Research progress of medial buttress plate assisted fixation for femoral neck fractures in young adults].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Ashley E LevackOrthopaedic Trauma Service, Hospital for Special Surgery, New York, NY.
Elizabeth B GausdenOrthopaedic Trauma Service, Hospital for Special Surgery, New York, NY.
Aleksey DvorzhinskiyOrthopaedic Trauma Service, Hospital for Special Surgery, New York, NY.
Dean G LorichOrthopaedic Trauma Service, Hospital for Special Surgery and Weill Cornell Medical College, New York Presbyterian Hospital, New York, NY.
David L HelfetOrthopaedic Trauma Service, Hospital for Special Surgery, New York, NY.
Hospital for Special Surgery · USNewYork–Presbyterian Hospital · US

Funding

ORTHOPAEDIC RESEARCH TRAININGT32AR007281 · NIAMS · HOSPITAL FOR SPECIAL SURGERY · PI MAHER, SUZANNE A., VAN DER MEULEN, MARJOLEIN C · 1986 to 2018
$1.8M
NIAMS NIH HHS T32 AR007281
6 · The paper itself

Abstract

In physiologically young patients with displaced femoral neck fractures, surgical treatment is aimed at achieving fracture union while preserving native hip anatomy and biomechanics. The intracapsular environment, tenuous vascular supply, and unfavorable hip biomechanics contribute to the high complication rates seen after osteosynthesis of these fractures. Conventional fixation methods for osteosynthesis of femoral neck fractures include multiple cancellous screws, fixed-angle dynamic implants, and fixed-angle length-stable constructs. Despite several biomechanical and clinical studies evaluating various surgical options, the optimal fixation construct to allow healing and prevent nonunion of displaced femoral neck fractures is not known. This article will review the clinical data regarding conventional fixation constructs and describe the technique and rationale behind 2 novel alternative treatment options for these challenging fractures. The surgical technique and clinical examples for constructs involving multiple cannulated screws/Pauwels screw augmented with a fibular strut graft, as well as a novel fixed-angle locking plate with controlled dynamic compression, are presented.

Indexed as

Bone PlatesBone ScrewsFemoral Neck FracturesFracture Fixation, InternalFractures, UnunitedHumans

Identifiers

PMID30540670
PMCPMC6294468
OpenAlexW2904365950

What OpenQuestion holds

Textmetadata
LicenceTDM
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.