ArticleBMC musculoskeletal disorders2021
Comparison of the clinical efficacy of a femoral neck system versus cannulated screws in the treatment of femoral neck fracture in young adults.
Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 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.
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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
41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.
- Pooled it
- Comparative efficacy of femoral neck system vs. cannulated compression screws in young patients with femoral neck fractures: a systematic review and meta-analysis.Frontiers in surgery · 2025Pooled it
- Femoral neck locking plate versus multiple cannulated screws for femoral neck fractures in young adults: a randomized controlled trial.BMC musculoskeletal disorders · 2025Trial
- Synergistic effects of robot-assisted surgery and enhanced recovery after surgery protocols on outcomes of femoral neck fracture fixation: a comparative cohort study.Journal of robotic surgery · 2026Article
- A 44-Year-Old Male Manual Laborer With Nonunion of a Femoral Neck Fracture Treated With Ultrasound-Guided Percutaneous Injections of Platelet-Rich Plasma: A Case Report.The American journal of case reports · 2026Article
- Femoral Neck System Versus Total Hip Arthroplasty in the Treatment of Pauwels Type III Unstable Femoral Neck Fractures in Patients Aged 60-70 Years: A Comparative Analysis of Clinical Efficacy and Hip Function.Orthopaedic surgery · 2026Article
- Is the tip-apex distance a reliable predictor of implant failure in surgical fixation of femoral neck fractures with the synthes femoral neck system device?BMC musculoskeletal disorders · 2026Article
- Clinical application of the femoral neck system in the treatment of femoral neck fractures.Frontiers in surgery · 2026Article
- Comparative study on femoral neck fractures treatment: partial threaded cannulated screw versus different combinations of partial threaded cannulated screw and fully threaded headless cannulated screw.Journal of orthopaedic surgery and research · 2025Article
- Biomechanical implications of femoral neck system removal following femoral neck fracture treatment in low bone mineral density conditions.Scientific reports · 2025Article
- Article
- FNS as a more satisfactory surgical option for young and middle-aged patients with femoral neck fractures.Scientific reports · 2025Article
- 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
- 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
- Biomechanical evaluation of percutaneous compression plate and femoral neck system in Pauwels type III femoral neck fractures.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024Article
- [Short-term effectiveness of robot-guided femoral neck system combined with cannulated compression screw fixation in treatment of femoral neck fracture in young and middle-aged patients].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Article
- Clinical value and risk factors of compression supporting screwsin patients with femoral neck fractures.Journal of orthopaedic surgery and research · 2024Article
- Low reoperation rate after fixation of displaced femoral neck fractures with the femoral neck system (FNS).European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Article
- 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
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo compare the clinical efficacy of a femoral neck system (FNS) and cannulated screws (CS) in the treatment of femoral neck fracture in young adults.
methodsData from 69 young adults, who were admitted for femoral neck fracture between March 2018 and June 2020, were retrospectively analyzed. Patients were divided into two groups according to surgical method: FNS and CS. The number of intraoperative fluoroscopies, operative duration, length of hospital stay, fracture healing time, Harris score of hip function, excellent and good rate of hip function, and postoperative complications (infection, cut out the internal fixation, nail withdrawal, and femoral neck shortening) were compared between the two groups. Hip joint function was evaluated using the Harris Hip Scoring system.
resultsAll 69 patients had satisfactory reduction and were followed up for 12-24 months, with a mean follow-up of 16.91 ± 3.01 months. Mean time to fracture healing was13.82 ± 1.59 and 14.03 ± 1.78 weeks in the FNS and CS groups, respectively. There was a statistical difference in the number of intraoperative fluoroscopies between the 2 groups (P = 0.000). There were no significant differences, in operation duration, hospital length of stay, fracture healing time, complications, Harris Hip Score for hip function and excellent and good rate between the two groups (P > 0.05). The incidence of complications was 6.1%(2/33) in the FNS group lower than 25%(9/36) in the CS group, a difference that was statistically significant (P = 0.032). At the last follow-up, the Harris Hip Score of the hip joint in the FNS group was 90.42 ± 4.82and 88.44 ± 5.91 in the CS group.
conclusionsBoth treatment methods resulted in higher rates of fracture healing and excellent hip function. Compared with CS, the FNS reduced the number of intraoperative fluoroscopies, radiation exposure to medical staff and patients, and short-term complications including femoral neck shortening and bone nonunion.
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