Evidence map›Paper›PMID 31655884›Full record

ArticleInternational orthopaedics2020

Initial displacement as a risk factor for avascular necrosis of the femoral head in pediatric femoral neck fractures: a review of one hundred eight cases.

Wentao Wang, Yiqiang Li, Yueming Guo, Ming Li, Haibo Mei, Jingfan Shao, Zhu Xiong, Jin Li, Federico Canavese, Shunyou Chen and 1 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in International orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 12% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Cannulated screw fixation in pediatric femoral neck fractures: Outcomes and complication predictors.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025
    Article
  4. Review
  5. Observational
  6. Risk factors of avascular femoral head necrosis after a pediatric femoral neck fracture: a 15-year follow up and an adjustment to the Delbet classification.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  7. Risk factors for proximal radial abnormalities in children with untreated chronic Monteggia fractures: a review of 142 cases.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Can formation of avascular necrosis really be prevented in Delbet type 2 femoral neck fractures?Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022
    Article
  13. Article
  14. Article
  15. Review
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

11 authors at 8 institutions in 2 countries.

Wentao WangDepartment of Pediatric Orthopedics, FuZhou Second Hospital Affiliated to Xiamen University, 47th ShangTeng Road of CangShan District, FuZhou, 350007, FuJian Province, China.ORCID http://orcid.org/0000-0001-7506-6651
Yiqiang LiDepartment of Pediatric Orthopedics, GuangZhou Women and Children's Medical Center, GuangZhou Medical University, GuangZhou, China.
Yueming GuoDepartment of Pediatric Orthopedics, Foshan Hospital of Traditional Chinese Medicine, Foshan, China.
Ming LiDepartment of Pediatric Orthopedics, Children's Hospital of Chongqing Medical University, Chongqing, China.
Haibo MeiDepartment of Pediatric Orthopedic, Hunan Children's Hospital, Changsha, Hunan, China.
Jingfan ShaoDepartment of Pediatric Orthopedics, TongJi Hospital of TongJi Medical College Huazhong University of Science and Technology, Wuhan, China.
Zhu XiongDepartment of Pediatric Orthopedics, ShenZhen Children's Hospital, Shenzhen, China.
Jin LiDepartment of Pediatric Orthopedics, Wuhan Union Hospital, Wuhan, China.
Federico CanaveseDepartment of Pediatric Surgery, University Hospital Estaing, Clermont-Ferrand, France.
Shunyou ChenDepartment of Pediatric Orthopedics, FuZhou Second Hospital Affiliated to Xiamen University, 47th ShangTeng Road of CangShan District, FuZhou, 350007, FuJian Province, China. csy508@163.com.
Chinese Multicenter Pediatric Orthopedic Study Group (CMPOS)
Xiamen University · CNCentre Hospitalier Universitaire de Clermont-Ferrand · FRChildren's Hospital of Chongqing Medical University · CNFoshan Hospital of TCM · CNHunan Children's Hospital · CNShenzhen Children's Hospital · CNTongji Hospital · CNWuhan Union Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the correlation between avascular necrosis (AVN) and the amount (severity) and direction (translation and angulation) of initial displacement of pediatric femoral neck fractures.

methodsWe retrospectively reviewed 108 pediatric patients (mean age 10.3 ± 4.1 years) with femoral neck fractures. The amount of initial translation (T) and angulation (A) was measured on anteroposterior (AP; T

resultsTwenty-eight out of 108 hips (25.9%) developed AVN of the femoral head. Logistical regression analysis indicated that T

conclusionsDisplacement severity and direction are important radiological parameters to be assessed in children with femoral neck fractures. Initial translation better predicts AVN than angulation does. Posterior translation and medial comminution are associated with an increased risk of AVN.

Indexed as

AdolescentAdultAgedBone MalalignmentChildClosed Fracture ReductionFemaleFemoral Neck FracturesFemur HeadFemur Head NecrosisFracture Fixation, InternalFractures, ComminutedHumansIncidenceMaleMiddle AgedAngulationAvascular necrosisChildrenFemoral headFemoral neck fractureInitial displacementTranslation

Identifiers

PMID31655884
OpenAlexW2981625913

What OpenQuestion holds

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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.