Observational studyJournal of orthopaedic surgery and research2021
Epidemiology, classification, treatment, and mortality of adult femoral neck and basicervical fractures: an observational study of 40,049 fractures from the Swedish Fracture Register.
Observational study 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 28 papers, 3 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Comparison of complications between total hip arthroplasty following failed internal fixation and primary total hip arthroplasty for femoral neck fractures: A meta-analysis.Joint diseases and related surgery · 2025Pooled it
- A Systematic Review and Meta-Analysis of Supercapsular Percutaneously Assisted Total Hip Arthroplasty Versus Standard Posterior Approach for Femoral Neck Fracture in Elderly Patients.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Pooled it
- Comparison of reconstruction nails versus dual implants in the treatment of ipsilateral femoral neck and shaft fractures in adults: a meta-analysis and systematic review.BMC musculoskeletal disorders · 2023Pooled it
- Association of depressive disorders and dementia with mortality among older people with hip fracture.BMC geriatrics · 2023Trial
- Re‑fracture risk following implant removal in consolidated hip fractures: a multicenter retrospective cohort study of 575 patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Article
- Increased Risk of Complications in Total Hip Arthroplasty (THA) of Femoral Neck Fracture (FNF): A Comparative Meta-Analysis of THA Outcomes in FNF and Osteoarthritis.Hip & pelvis · 2026Review
- Incidence and risk factors for fixation failure of femoral neck fractures in adults: a single-center multifactorial analysis.Langenbeck's archives of surgery · 2026Article
- Factors associated with one-year mortality after hip fracture in people older than 85 years in Northern Sweden.European geriatric medicine · 2026Article
- Association between spinopelvic parameters and clinical outcomes following hip fracture: an observational retrospective study.Frontiers in surgery · 2026Article
- Comparison of the Piriformis-Sparing and Posterolateral Approaches in Cementless Hemiarthroplasty for Femoral Neck Fractures.Hip & pelvis · 2025Article
- An Acta Orthopaedica educational article: Femoral neck fractures in adults with emphasis on surgical treatment.Acta orthopaedica · 2025Review
- Impact of femoral head size on the localization of proximal femur fractures: Retrospective analysis of 400 cases.Journal of clinical orthopaedics and trauma · 2025Article
- Direct anterior approach enhances early recovery outcomes in total hip arthroplasty among elderly individuals with femoral neck fractures: a propensity-matched cohort study.Journal of orthopaedic surgery and research · 2025Observational
- Postoperative kinesiophobia in elderly patients with femoral neck fractures: a prospective study of psychological and social determinants.Frontiers in psychology · 2025Article
- Risk factors for mortality in periprosthetic femur fractures about the hip-a retrospective analysis.International orthopaedics · 2025Article
- Classification of AO/OTA 31A/B femur fractures in X-ray images using YOLOv8 and advanced data augmentation techniques.Bone reports · 2024Article
- Factors that influence surgical decision-making for geriatric displaced femoral neck fractures: Bullet Health Analysis (BHA) I : Worldwide Orthopaedic Research Collaboration: Leveraging Big Data (WORLD) I.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Basicervical femoral neck fractures: an observational study derived from the Swedish Fracture Register.Acta orthopaedica · 2024Observational
- Comparison of the Surgical Outcome between the Multiple Screw Fixation and Fixed Angle Devices for the Basicervical Femoral Neck Fractures.Medicina (Kaunas, Lithuania) · 2024Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough femoral neck fractures (FNFs) are common in orthopedic departments, optimal treatment methods remain in dispute. There are few large nationwide studies, including basicervical FNFs (bFNFs), on epidemiology, treatment, and mortality. This nationwide study aims to describe the epidemiology, fracture classification, current treatment regimens, and mortality of undisplaced and minimally displaced (Garden I-II, uFNF), displaced (Garden III-IV, dFNF) and bFNFs in adults.
methodsAll FNFs, including bFNFs with a registered injury date between 1 April 2012 and 31 December 2020, were included in this observational study from the Swedish Fracture Register (SFR). Data on age, sex, injury mechanism, fracture classification, primary treatment, and seasonal variation were analyzed.
resultsSome 40,049 FNFs were registered in the SFR. The mean age of the patients in the register was 80.3 (SD 11) years and 63.8% (25,567) were female. Of all FNFs, 25.0% (10,033) were uFNFs, 63.4% (25,383) dFNFs, and 11.6% (4,633) bFNFs. Non-surgical treatment was performed in 0.6% (261) of the patients. Internal fixation (IF) (84.7%) was the main treatment for uFNFs and arthroplasty (87.3%) for dFNFs. For bFNFs, IF (43.8%) and hip arthroplasty (45.9%) were performed equally often. Of the 33,105 patients with a 1-year follow-up mortality at 1-year was 20.6% for uFNF, 24.3% for dFNF, and 25.4% for bFNF.
conclusionThe main treatment of uFNFs is IF with screws or pins. Hip arthroplasty is the predominant treatment for dFNF. bFNF are more common than previously reported and treated with IF or arthroplasty, depending on patient age. These results may help health care providers, researchers and clinicians better understand the panorama of FNFs in Sweden. LEVEL OF EVIDENCE: IV, retrospective cohort study.
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