SynthesisOrthopaedic surgery2021
Long-Term Efficacy of Screw Fixation vs Hemiarthroplasty for Undisplaced Femoral Neck Fracture in Patients over 65 Years of Age: A Systematic Review and Meta-Analysis.
Synthesis in Orthopaedic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.
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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.
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.
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Who cites it
8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 52 citations in OpenAlex.
- Screw fixation versus hemiarthroplasty for undisplaced femoral neck fractures in the elderly: a meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled it
- The therapeutic effect of fixation using alternative implants for the treatment of hip fractures (FAITH) in elderly patients with femoral neck fractures after falls: a meta-analysis.European journal of medical research · 2025Pooled it
- Cannulated screws versus dynamic hip screw versus hemiarthroplasty versus total hip arthroplasty in patients with displaced and non-displaced femoral neck fractures: a systematic review and frequentist network meta-analysis of 5703 patients.Journal of orthopaedic surgery and research · 2023Pooled it
- Torsional Stability of the Femoral Neck System for Pauwels Type III Femoral Neck Fracture Fixation: A Finite-element Analysis.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Quality of life and cost-utility analysis in patients with femoral neck fracture: a propensity score matching study comparing monopolar hemiarthroplasty and total hip arthroplasty.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
- Comparison of femoral neck system fixation outcomes in nondisplaced femoral neck fractures: a multicenter retrospective study of patients aged below and above 75 years.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Comparison of the Effect of Rhombic and Inverted Triangle Configurations of Cannulated Screws on Internal Fixation of Nondisplaced Femoral Neck Fractures in Elderly Patients.Orthopaedic surgery · 2022Article
- Early Results in Non-Displaced Femoral Neck Fractures Using the Femoral Neck System.Geriatric orthopaedic surgery & rehabilitation · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare the long-term efficacy of screw fixation and hemiarthroplasty in elderly patients with undisplaced femoral neck fractures.
methodsWe searched Cochrane Library, EMBASE, and MEDLINE from inception to 10 June 2020 to identify studies about undisplaced femoral neck fracture in elderly patients over 65 years of age. The included studies were assessed by two researchers according to the Cochrane risk-of-bias criteria and Newcastle-Ottawa Scale. Meta-analysis was performed with Revman 5.3 software. The odds ratios (OR) and mean differences (MD) were used to compare dichotomous and continuous variables.
resultsA total of 750 patients were included in this meta-analysis. In elderly patients, undisplaced femoral neck fracture treated with hemiarthroplasty had a lower implant-related complication rate (OR, 4.05 [95% CI, 2.38 to 6.89]; P < 0.00001; I
conclusionIn elderly patients with undisplaced femoral neck fractures, hemiarthroplasty provided a lower implant-related complication rate, lower reoperation rate, superior hip function without increased long-term mortality. Hemiarthroplasty should be recommended as a better alternative in such patients compared with multiple cannulated screws.
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