ArticleJournal of orthopaedic surgery and research2020
Osteonecrosis of femoral head in young patients with femoral neck fracture: a retrospective study of 250 patients followed for average of 7.5 years.
Article in Journal of orthopaedic surgery and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
33 citing papers in PubMed, 4 syntheses or guidelines pooled it, 44 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
- Treatment Trade-Offs and Choices for Femoral Fractures: A Systematic Review and Meta-Analysis.Orthopaedic surgery · 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
- 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
- A predictive model integrating three-dimensional displacement for osteonecrosis of femoral head following femoral neck fractures: a retrospective cohort study.Quantitative imaging in medicine and surgery · 2026Article
- Early results of the femoral neck system in fixation of femoral neck fractures.Singapore medical journal · 2026Article
- Staged treatment of osteonecrosis of the femoral head induced by delayed treatment of polytrauma complicated by chronic acetabular fracture and hip dislocation: a case report.Frontiers in surgery · 2026Article
- Knowledge, Attitudes, and Practices Regarding Postoperative Management Among Patients with Fractures: A Cross-Sectional Study.Patient preference and adherence · 2026Article
- Biomechanical implications of femoral neck system removal following femoral neck fracture treatment in low bone mineral density conditions.Scientific reports · 2025Article
- Early postoperative three-phase Technetium-99 m bone scanning predicts traumatic osteonecrosis in patients with femoral neck fractures: a 2- to 6-year follow-up study.Archives of orthopaedic and trauma surgery · 2025Article
- Failure of the Femoral Neck System in a Young Patient: A Case Report.Journal of orthopaedic case reports · 2025Article
- A Retrospective Study on the Relationship Between Calcar Femorale Injury and Postoperative Complications of Femoral Neck Fracture in Young and Middle-Aged Patients Treated With Three Cannulated Screws.Orthopaedic surgery · 2025Article
- The impact of removing cannulated screws after femoral neck fracture surgery on middle-aged and young patients.Medicine · 2025Article
- Biomechanical properties of off-axis screw in the treatment of vertical femoral neck fractures: a finite element analysis.BMC musculoskeletal disorders · 2025Article
- Predicting the risk of postoperative avascular necrosis in patients with talar fractures based on an interpretable machine learning model.Frontiers in bioengineering and biotechnology · 2025Article
- Clinical outcomes of open reduction and internal fixation combined with sartorius muscle iliac bone graft transplantation for displaced femoral neck fractures in middle-aged and young adults: a retrospective analysis of 24 cases.BMC musculoskeletal disorders · 2024Article
- Biomechanical effects of FNS on femoral neck fractures based on different reduction quality: finite element analysis.BMC musculoskeletal disorders · 2024Article
- Investigation of Novel Radiological Parameters to Predict Treatment Failure and Ideal Surgical Interventions in Young Femoral Neck Fractures Treated with Triple Cannulated Screw: A Retrospective Analysis.Indian journal of orthopaedics · 2024Article
- Comparison of three different internal fixation methods in the treatment of femoral neck fracture.Heliyon · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo investigate the risk factors for osteonecrosis of the femoral head (ONFH) after the treatment of femoral neck fracture in patients under 60 years old.
methodsA total of 250 cases of femoral neck fracture treated at 3 hospitals in Xuzhou from January 2002 to January 2016 were studied. The patients were followed up for 1~15 years, and the clinical data on femoral head necrosis after the femoral neck operation were analysed retrospectively. Risk factors were recorded, including age, gender, preoperative traction, time from injury to operation, reduction method, type of reduction, BMI, ASA classification, and quality of reduction. Logistic regression analysis was used to evaluate the independent risk factors for ONFH after treatment of femoral neck fracture.
resultsThe duration of follow-up was 1~15 years, with an average of 7.5 years. None of the 250 patients had fracture non-union, but 40 (16%) had necrosis of the femoral head. The time to necrosis of the femoral head was 1~7 years after the operation, with an average of 3.8 years. Univariate analysis showed that the type of fracture, the quality of reduction, the removal of internal fixation, BMI and ASA classification were risk factors affecting necrosis of the femoral head in patients with femoral neck fracture, and the difference was statistically significant (P < 0.05). Multivariate analysis showed that internal fixation, fracture type (displacement), reduction quality (dissatisfaction), BMI (> 25), and ASA grade (III + IV) were independent risk factors affecting femoral head necrosis in patients with femoral neck fracture.
conclusionA variety of high-risk factors for femoral head necrosis are present after surgery with hollow compression screws for femoral neck fracture in adults. Removal of internal fixation, type of fracture, quality of reduction, BMI, and ASA classification were the most important risk factors influencing the development of femoral head necrosis. During treatment, there should be some targeted measures to reduce the incidence of necrosis of the femoral head.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.