Evidence map›Paper›PMID 32843048›Full record

SynthesisJournal of orthopaedic surgery and research2020

Dynamic hip screws versus cannulated screws for femoral neck fractures: a systematic review and meta-analysis.

Lang Li, Xue Zhao, Xiaodong Yang, Xueyang Tang, Ming Liu

Open access · goldAbstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis 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 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
5.3field-weighted citation impact, top 3% 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

26 citing papers in PubMed, 47 citations in OpenAlex.

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  15. Survivability of the Femoral Neck System for the treatment of femoral neck fractures in adults.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
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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 3 institutions in 1 country.

Lang LiDepartment of Pediatric Surgery, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, People's Republic of China.
Xue ZhaoDepartment of Obstetrics and Gynaecology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, People's Republic of China.
Xiaodong YangDepartment of Pediatric Surgery, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, People's Republic of China.
Xueyang TangDepartment of Pediatric Surgery, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, People's Republic of China.
Ming LiuDepartment of Orthopedics, West China Hospital, Sichuan University, #37, Guo Xue Xiang, Chengdu, 610041, Sichuan, People's Republic of China. liuming15@qq.com.
Sichuan University · CNWest China Hospital of Sichuan University · CNFirst Affiliated Hospital of Chongqing Medical University · CN

Funding

National Natural Science Foundation of China 81401813Post-Doctor Research Project of Sichuan University 2019SCU12034Post-Doctor Research Project, West China Hospital, Sichuan University 2018HXBH076Sichuan Province Science and Technology Support Program 2019YFS0265the Sino-German Center for Research Promotion GZ1219
6 · The paper itself

Abstract

objectiveDynamic hip screw (DHS) and cannulated screws (CS) are widely used for femoral neck fractures. However, there is no definite result as to which surgical method bring less complications. We performed this study to compare the complication (mortality, non-union, avascular necrosis (AVN), and revision) of DHS and CS for the treatment of femoral neck fractures patients.

methodsWe searched Pubmed, Ovid, Cochrane Central Register of Controlled Trials, and other relevant studies related the comparison of DHS versus CS for femoral neck fractures from inception to Jan 7, 2020. The quality of the included randomized controlled trials (RCTs) and retrospective studies were assessed using the Cochrane Collaboration tool and Newcastle-Ottawa (NOS), respectively. The meta-analysis was performed by the RevMan 5.2 software.

resultsNine RCTs and seven retrospective cohort studies were included for meta-analysis. CS was found to be superior to DHS with respect to AVN rate (OR 1.47; 95% CI 1.08-1.99; p = 0.01, I

conclusionDHS and CS have similar complication including mortality, revision rate, and non-union, but CS has superior to DHS on ANV. However, further studies are required to provide more robust evidence owing to some limitations.

Indexed as

Bone ScrewsProsthesis DesignFemaleFemoral Neck FracturesFracture Fixation, InternalHumansMalePostoperative ComplicationsRandomized Controlled Trials as TopicReoperationRetrospective StudiesTreatment OutcomeCannulated screwsDynamic hip screwFemoral neck fracturesMeta-analysis

Identifiers

PMID32843048
PMCPMC7449015
OpenAlexW3081242534

What OpenQuestion holds

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LicenceCC BY
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.