SynthesisBMC musculoskeletal disorders2019
Risk factors associated with osteonecrosis of femoral head after internal fixation of femoral neck fracture:a systematic review and meta-analysis.
Synthesis in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 5 of them syntheses that pooled it.
What it found
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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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Who cites it
42 citing papers in PubMed, 5 syntheses or guidelines pooled it, 67 citations in OpenAlex.
- Effect of different types of internal fixation on the incidence of femoral head necrosis in adult femoral neck fractures: a single-arm rate and network meta-analysis.European journal of medical research · 2025Pooled it
- Efficacy of internal fixation alone versus combined pedicled bone grafting in young people with fresh Garden type III/IV femoral neck fracture: a systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled it
- Association of hardware removal with secondary osteonecrosis following femoral neck fractures: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2023Pooled it
- The Risk of Avascular Necrosis Following the Stabilization of Femoral Neck Fractures: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022Pooled it
- Computer-assisted cannulated screw internal fixation versus conventional cannulated screw internal fixation for femoral neck fractures: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2021Pooled it
- Clinical efficacy of personalized 3D-printed modular navigation templates in assisting Femoral Neck System implantation for femoral neck fractures in young and middle-aged adults.BMC musculoskeletal disorders · 2025Trial
- 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
- Characteristics of the Extent and Onset of Osteonecrosis of the Femoral Head After Femoral Neck System (FNS) Fixation: A Minimum Two-Year Follow-Up Comparative Study with Cannulated Screws.Journal of clinical medicine · 2026Article
- Does FNS outperform CCS in Pauwel's type III fracture fixation: a combined experimental and numerical study.Medical & biological engineering & computing · 2026Article
- Biomechanical efficacy of a medial buttress plate in the management of concomitant ipsilateral subcapital and intertrochanteric femoral fractures: a finite element analysis.BMC musculoskeletal disorders · 2026Article
- Association between screw angulation and union after inverted-triangle cannulated screw fixation of femoral neck fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Femoral Neck Fracture With Anterior Tilt.Orthopaedic surgery · 2026Article
- Changes in serum NO, ET-1, and VEGF after cannulated screw fixation in patients with femoral neck fractures and their relationship with femoral head necrosis.Frontiers in physiology · 2025Article
- Probiotic bacteria vs. yeast for gastrointestinal diseases treatment: Protocol for a systematic review and meta-analysis.PloS one · 2025Article
- Iatrogenic Vascular Injury During Reduction of Femoral Neck Fractures: A Cadaveric Study.Medical journal of the Islamic Republic of Iran · 2025Article
- Clinical efficacy comparison of internal fixation of locking compression plate and cannulated screw in treatment of elderly femoral neck fractures-a retrospective study.Frontiers in surgery · 2025Article
- Biomechanical effects of FNS on femoral neck fractures based on different reduction quality: finite element analysis.BMC musculoskeletal disorders · 2024Article
- Two-year outcomes of internal fixation with femoral neck system in patients with femoral neck fracture in an Asian population.Journal of orthopaedics · 2024Article
- Comparison of femoral neck system versus cannulated cancellous screws for the fixation of femoral neck fracture: a single-center retrospective cohort study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Hemiarthroplasty vs. internal fixation for nondisplaced femoral neck fracture in mainland China: a cost-effectiveness analysis.Frontiers in surgery · 2024Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundAlthough the risk factors associated with osteonecrosis of femoral head (ONFH) after internal fixation of femoral neck fracture (IFFNF) have been frequently reported, the results remain controversial. Therefore, its related risk factors were systematically evaluated and meta-classified in this study.
methodsLiterature on risk factors of ONFH caused by IFFNF was retrieved in PubMed, Embase and Cochrane Library due June 2019. Review Manager 5.3 software was applied to data synthesis, and Stata 13.0 software was adopted for analyses of publication bias and sensitivity.
resultsA total of 17 case-control studies with 2065 patients were included. The risk of ONFH after IF was 0.40-fold higher in patients with Garden III-IV FNF than that in patients with Garden I-II (OR: 0.40, 95%CI: 0.29-0.55). The risk of OFNH with retained IF was uplifted by 0.04 times (OR: 0.04, 95%CI: 0.02-0.07). There was nonsignificant relationship between gender and ONFH after IFFNF (OR: 1.27, 95%CI: 0.84-1.94). Moreover, ONFH after IFFNF presented no association with age (OR:1.66, 95%CI: 0.89-3.11), injury-operation interval (OR:1.29, 95%CI: 0.82-2.04), fracture reduction mode (OR:1.98, 95%CI: 0.92-4.26), preoperative traction (OR:1.69, 95%CI: 0.29-9.98) and mechanism of injury (OR:0.53, 95%CI: 0.06-4.83). Egger's and Begg's tests indicated a publication bias (P = 0.001).
conclusionIt was demonstrated that Garden classification and retained IF were important influencing factors of ONFH after IFFNF. Gender, age, injury-operation interval, fracture reduction mode, preoperative traction and the mechanism of ONFH were irrelevant to the complication.
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