Evidence map›Paper›PMID 35187589›Full record

ReviewInternational orthopaedics2022

Surgical treatment options for femoral neck fractures in the elderly.

Boris A Zelle, Luis M Salazar, Shain L Howard, Kisan Parikh, Hans-Christoph Pape

Abstract readReview
PubMed Publisher
In one paragraph

Review in International orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 pooled it
10.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 3 syntheses or guidelines pooled it, 54 citations in OpenAlex.

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  9. Factors affecting the anatomical localization of proximal femoral fractures in geriatric patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Boris A ZelleUT Health San Antonio, Department of Orthopaedics, San Antonio, TX, USA. zelle@uthscsa.edu.
Luis M SalazarUT Health San Antonio, Long School of Medicine, San Antonio, TX, USA.
Shain L HowardUT Health San Antonio, Department of Orthopaedics, San Antonio, TX, USA.
Kisan ParikhUT Health San Antonio, Department of Orthopaedics, San Antonio, TX, USA.
Hans-Christoph PapeDepartment of Trauma Surgery, University Hospital Zurich, Zurich, Switzerland.
The University of Texas Health Science Center at Houston · USUniversity Hospital of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This review paper on femoral neck fractures in the elderly provides updated information from the most recent literature and examines the advantages and disadvantages of different surgical treatment options. Femoral neck fractures are a common injury that many orthopaedic surgeons will encounter within their practice. These injuries are associated with significant morbidity, and the economic impact of surgically fixing these fractures is notable. Contemporary treatment options include internal fixation, hemiarthroplasty, and total hip arthroplasty. For non-displaced fractures, both internal fixation and hemiarthroplasty remain feasible options. Hemiarthroplasty decreases re-operation rate, while internal fixation decreases operative time, blood loss, and infection risk. Newly designed fixation constructs require further investigation. For displaced fractures, the literature strongly supports arthroplasty. Most elderly patients with displaced femoral neck fractures should be managed with a hemiarthroplasty. In select active elderly patients, total hip arthroplasty may achieve favourable early functional outcomes as compared to a hemiarthroplasty. Finally, cemented arthroplasty decreases periprosthetic fracture risk as compared to cementless arthroplasty. However, experienced arthroplasty surgeons with significant expertise in press-fitting techniques may achieve similar outcomes with cementless arthroplasty.

Indexed as

Arthroplasty, Replacement, HipFemoral Neck FracturesHemiarthroplastyPeriprosthetic FracturesAgedFracture Fixation, InternalHumansTreatment OutcomeCannulated compression screwFemoral neck fractureFemoral neck systemHemiarthroplastySliding hip screwTotal hip arthroplasty

Identifiers

PMID35187589
OpenAlexW4213277326

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.