SynthesisActa orthopaedica et traumatologica turcica2020
Complications after internal screw fixation of nondisplaced femoral neck fractures in elderly patients: A systematic review.
Synthesis in Acta orthopaedica et traumatologica turcica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 19 citations in OpenAlex.
- Does double fluoroscopy reduce operative and radiation time in femoral neck fracture fixation?Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Trial
- Time to surgery and preoperative posterior tilt predict reoperation after femoral neck system fixation in older adults with nondisplaced femoral neck fractures: a retrospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Comparative outcomes of in-situ fixation and fixation after reduction in geriatric patients with severe valgus-impacted femoral neck fractures: a retrospective multicenter (TRON group) study.Nagoya journal of medical science · 2025Article
- Management of Garden-I and II Femoral Neck Fractures: Perspectives on Primary Arthroplasty.Orthopedic research and reviews · 2024Review
- Article
- Combined Deflection Angle Classification: A Novel Typing System of Adult Femoral Neck Fracture.Orthopaedic surgery · 2023Article
- Internal fixation versus hip arthroplasty in patients with nondisplaced femoral neck fractures: short-term results from a geriatric trauma registry.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- High Charlson Comorbidity Index Score is associated with early fracture-related complication for internal fixation of neck of femur fractures.Scientific reports · 2022Article
- Comparison Between Femoral Neck Systems and Cannulated Cancellous Screws in Treating Femoral Neck Fractures: A Meta-Analysis.Geriatric orthopaedic surgery & rehabilitation · 2022Article
- Femoral Neck System and Cannulated Compression Screws in the Treatment of Femoral Neck Fractures: Umbrella Review of Meta-Analyses.JB & JS open accessReview
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveInternal fixation with cannulated screws for nondisplaced femoral neck fractures in the elderly has substantial reoperation and mortality rates. The selection of either internal fixation or arthroplasty for nondisplaced femoral neck fracture is debatable.
methodsWe performed a systematic review of the literature regarding complications in the internal fixation of nondisplaced femoral neck fractures in elderly (>60 years old) patients. We searched in multiple databases (PubMed, Web of Science, Embase, and Cochrane Library) for articles in this area; there was no limitation over the publication year.
resultsA total of 1971 patients were identified from 16 published studies. All these patients were over 60 years old. The minimum follow-up after the surgical procedure was 11 months (range: 11-183 months). A total of 329 fractures (16.7%) with radiographic and clinical failures after fixation were identified with regard to stable femoral neck fractures. The single most common complication after surgery was nonunion (129/329), with a pooled percentage of 39.2%. Osteonecrosis was found to be the second most common cause of revision surgery (31.9%). The overall reoperation rate attributable to surgical complications was 15.2% (300/1971 patients). Conversion to hip arthroplasty was performed in 244 patients (12.4%) after primary fixation.
conclusionOur study elucidated further the complication rate of nondisplaced femoral neck fractures treated with internal screw fixation. Since the failure rate of screw fixation for stable femoral neck fractures in elderly patients is not low, we believe that hemiarthroplasty is a reasonable treatment option in select patients. LEVEL OF EVIDENCE: Level III, Therapeutic study.
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