ArticleArchives of orthopaedic and trauma surgery2022
First clinical results of 1-year follow-up of the femoral neck system for internal fixation of femoral neck fractures.
Article in Archives of orthopaedic and trauma surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- 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
- Treatment of Femoral Neck Fractures in Adults With Improved Biplane Double-Supported Screw Fixation and Femoral Neck System: Complications and Surgical Techniques.Orthopaedic surgery · 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
- Femoral neck system with an additional cannulated screw for the treatment of elderly femoral neck fractures: a retrospective study.Frontiers in bioengineering and biotechnology · 2025Article
- Two-year outcomes of internal fixation with femoral neck system in patients with femoral neck fracture in an Asian population.Journal of orthopaedics · 2024Article
- Mechanical analysis of modified femoral neck system in the treatment of osteoporotic femoral neck fractures.BMC musculoskeletal disorders · 2024Article
- A finite element analysis of a low-profile femoral neck system of screws in sleeves in a vertical femoral neck fracture model.BMC musculoskeletal disorders · 2024Article
- Femoral neck fracture fixation in rhombic versus inverted triangle configuration in young adults: A systematic review.Journal of clinical orthopaedics and trauma · 2024Review
- Clinical efficacy of Femoral Neck System for treatment of unstable femoral neck fractures in young adults.The Journal of international medical research · 2024Observational
- Pre-sliding technique to improve femoral neck system against the shortening: a retrospective cohort study.BMC musculoskeletal disorders · 2024Article
- Application of robot navigation system for insertion of femoral neck system in the treatment of femoral neck fracture.BMC musculoskeletal disorders · 2024Article
- Fixation of femoral neck fracture with femoral neck system: a retrospective cohort study of 43 patients.BMC musculoskeletal disorders · 2024Article
- Evaluation of Post-Operative Outcomes of Femoral Neck Fracture Interventions: A Systematic Review.Geriatric orthopaedic surgery & rehabilitation · 2024Review
- Restoration of Hip Geometry after Femoral Neck Fracture: A Comparison of the Femoral Neck System (FNS) and the Dynamic Hip Screw (DHS).Life (Basel, Switzerland) · 2023Article
- Subtrochanteric fracture after femoral neck system of femoral neck fractures: a report of four cases.BMC musculoskeletal disorders · 2023Article
- Survivability of the Femoral Neck System for the treatment of femoral neck fractures in adults.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Effect analysis of medial bracing plate combined with cannulated screw in unstable femoral neck fracture assisted by surgical hip dislocation: a retrospective study.Journal of orthopaedic surgery and research · 2023Article
- Is new always better: comparison of the femoral neck system and the dynamic hip screw in the treatment of femoral neck fractures.Archives of orthopaedic and trauma surgery · 2023Article
- Mechanical effects of sagittal variations on Pauwels type III femoral neck fractures treated with Femoral Neck System(FNS).BMC musculoskeletal disorders · 2022Article
- Femoral neck system reduces surgical time and complications in adults with femoral neck fractures: A systematic review and meta-analysis.Journal of clinical orthopaedics and trauma · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundClosed reduction and internal fixation (CRIF) is the preferred treatment to retain the native joint and maintain optimal functionality in femoral neck fractures. Sliding hip screw (SHS) and cannulated hip screws (CHS) are established CRIF options. SHS offer high biomechanical stability, whereas CHS are minimally invasive. These established systems have a 17-21% failure rate. The Femoral neck system (FNS) was recently developed to combine the advantages of both predecessors. The aim of this study was to describe the first clinical experience with this novel implant with special emphasis on the safety and efficacy.
methodsDuring a 1-year period all patients in our level-2 trauma centre with a FNF indicated for CRIF were treated using the FNS and evaluated at 2, 6, 12 weeks, 6 months and 1 year postoperatively using patient and fracture characteristics, surgical notes and radiographic imaging.
resultsThirty-four patients were included, mean age was 63 years (SD 8), 58.2% was female. Fractures were classified as Pauwels I (n = 10), Pauwels II (n = 15), Pauwels III (n = 9), Garden I (n = 1), Garden II (n = 17), Garden III (n = 12) and Garden IV (n = 4). Eight reoperations were reported after 1-year follow-up; osteosyntheses failed in 6 patients due to avascular necrosis (n = 4) and cut-out (n = 2). In two patients the implant was removed due to inexplicable pain. Age (< 65 years) was related to lower risk for failure. There was a trend for females having more failures.
conclusionThis study indicates that the FNS is a potential safe and effective CRIF modality. Age (< 65 years) is an important factor to keep in mind when selecting patients for CRIF as it is related to lower risk for failure. Future long-term follow-up studies with larger populations should indicate if functional results and risk factors for failure are comparable to SHS or CHS.
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