ArticleJournal of orthopaedic surgery and research2021
Femoral neck system versus inverted cannulated cancellous screw for the treatment of femoral neck fractures in adults: a preliminary comparative study.
Article in Journal of orthopaedic surgery and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 3 of them syntheses that pooled it.
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Who cites it
58 citing papers in PubMed, 3 syntheses or guidelines pooled it, 85 citations in OpenAlex.
- Comparative efficacy and safety of three internal fixation strategies for femoral neck fractures: a network meta-analysis.Frontiers in medicine · 2026Pooled it
- 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
- Comparison of femoral neck system versus cannulated screws for treatment of femoral neck fractures: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2023Pooled it
- Targeted Fully-Threaded Screw Augmentation with the Femoral Neck System Reduces Neck Shortening and Posterior Tilt, Leading to Improved Function in Geriatric Garden I-II Femoral Neck Fractures: A Retrospective Comparative Study.Clinics in orthopedic surgery · 2026Article
- Expert Consensus on Vascular Assessment and Treatment Strategies for Adult Femoral Neck Fractures.Annals of plastic surgery · 2026Article
- Enhanced Stability in an Unstable Femoral Neck Fracture Using the Femoral Neck System with Two Additional Cannulated Cancellous Screws: A Case Report.Journal of orthopaedic case reports · 2026Article
- Clinical and radiographic outcomes of multiple cannulated cancellous screw fixation versus the femoral neck system for femoral neck fractures in the elderly: a multicenter retrospective comparative study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Development and testing of a prognostic scoring system for screw-positioning related femoral neck fracture failures for younger adults.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- From Valgus-impacted to Displaced: Clinical and Technical Lessons in Femoral Neck Fracture Fixation with the Femoral Neck System.Journal of orthopaedic case reports · 2025Article
- Early Outcome of Intracapsular Fracture Neck of Femur Managed with Femoral Neck System Versus Cannulated Cancellous Screws: A Prospective Comparative Study.Indian journal of orthopaedics · 2025Article
- The intertrochanteric line approach for irreducible femoral neck fractures: a novel open reduction technique with favorable clinical outcomes.European journal of medical research · 2025Article
- Failure of the Femoral Neck System in a Young Patient: A Case Report.Journal of orthopaedic case reports · 2025Article
- Femoral neck system versus cannulated screws with a medial plate for the fixation of Pauwels type III femoral neck fractures in young patients: a retrospective cohort study.BMC musculoskeletal disorders · 2025Article
- Is DHS with Fibular Strut Graft Superior for the Fixation of Comminuted Femoral Neck Fractures (FNF)? A Comparative Analysis with New Implant Femoral Neck System.Indian journal of orthopaedics · 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
- Biomechanical properties of off-axis screw in the treatment of vertical femoral neck fractures: a finite element analysis.BMC musculoskeletal disorders · 2025Article
- Comparable results for the Femoral Neck System and three-screw fixation in femoral neck fracture treatment.OTA international : the open access journal of orthopaedic trauma · 2025Article
- Treatment of a femoral neck fracture in a patient with dwarfism: a case report.BMC musculoskeletal disorders · 2025Article
- Biomechanical Analysis and Solution Suggestions of Screw Replacement Scenarios in Femoral Neck Fracture Surgeries: Finite Element Method.Orthopaedic surgery · 2025Article
- Femoral neck system (FNS) versus 4 cannulated compression screws (CCSs) in the treatment of young patients with Pauwels type III femoral neck fracture: a retrospective comparative study.Journal of orthopaedic surgery and research · 2025Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe femoral neck system (FNS) may be a valid alternative for treating femoral neck fractures, but few studies have compared the outcomes between FNS and cannulated cancellous screws. This study aimed to compare the clinical efficacy and complications of FNS with those of inverted cannulated cancellous screws (ICCS) for the treatment of femoral neck fractures in adults.
methodsThis retrospective study evaluated patients with femoral neck fractures who underwent FNS or ICCS internal fixation between June 2019 and January 2020. The operative time, intraoperative blood loss, number of fluoroscopies, length of surgical incision, length of hospital stay, time to fracture healing, and other indicators were compared between the two groups. The incidence of complications such as nonunion, avascular necrosis of the femoral head, loosening of the internal fixation, and shortening of the femoral neck during follow-up was also assessed in both groups.
resultsAmong the 92 patients included, 47 and 45 patients were categorized into the FNS and ICCS groups, respectively. Follow-up ranged from 14 to 24 months. There were no significant between-group differences in sex, age, side of the injured limb, and type of fracture and in operative time, intraoperative blood loss, incision length, and length of hospital stay (all P > 0.05). The incidence of complications such as fracture nonunion, avascular necrosis of the femoral head, and screw loosening was also comparable between the two groups. However, the number of fluoroscopies was significantly lower in the FNS group than in the ICCS group (P < 0.05). The fracture healing time was also significantly lower in the FNS group than in the ICCS group (P < 0.05). Furthermore, the femoral neck shortening and Harris hip score at the last follow-up were significantly better in the FNS group than in the ICCS group (P < 0.05).
conclusionsFNS for femoral neck fractures improves hip functional recovery and reduces the femoral neck shortening rate and fluoroscopy exposure postoperatively. Thus, FNS can be an alternative to ICCS for the treatment of femoral neck fractures.
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