ArticleBMC musculoskeletal disorders2022
Essential role of reliable reduction quality in internal fixation of femoral neck fractures in the non-elderly patients-a propensity score matching analysis.
Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Superior reduction quality without improved outcomes: open versus closed reduction for displaced femoral neck fractures in adults under 60 years.Archives of orthopaedic and trauma surgery · 2026Article
- Closed reduction of acute femoral neck fractures-a simple and reproducible technique.Operative Orthopadie und Traumatologie · 2026Article
- Biomechanical study of medial buttress plate combined with cannulated compression screws for pauwels type III femoral neck fractures using formalin-fixed human cadaveric femora.BMC musculoskeletal disorders · 2026Article
- Association between screw angulation and union after inverted-triangle cannulated screw fixation of femoral neck fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 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
- The intertrochanteric line approach for irreducible femoral neck fractures: a novel open reduction technique with favorable clinical outcomes.European journal of medical research · 2025Article
- Direct anterior approach for femoral neck fractures: Why and how?Journal of clinical orthopaedics and trauma · 2025Article
- Optimal sliding distance in femoral neck system for displaced femoral neck fractures: a retrospective cohort study.Journal of orthopaedic surgery and research · 2024Article
- Comparative Short-Term Outcomes of Femoral Neck System (FNS) and Cannulated Screw Fixation in Patients with Femoral Neck Fractures: A Multicenter Study.Clinics in orthopedic surgery · 2024Article
- Comparison of young femoral neck fractures treated by femoral neck system, multiple cancellous screws and dynamic hip screws: a retrospectively comparison study.BMC musculoskeletal disorders · 2024Review
- Reliability of the Garden Alignment Index and Valgus Tilt Measurement for Nondisplaced Femoral Neck Fractures.Journal of personalized medicine · 2022Article
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6 authors.
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Abstract
backgroundThe rate of failure of internal fixation for femoral neck fractures has remained largely unchanged over the past 30 years. The current study attempted to identify the controllable variables influencing the failure of internal fixation of femoral neck fractures.
methodsThe study included 190 patients aged from 20 to 65 with femoral neck fracture caused by low energy violent injuries (fall from standing height), who were treated with multiple cannulated screws over the period 2005-2019 at a single centre. Kaplan-Meier (KM) survival analysis was firstly utilized to evaluate the potential interaction between each variable and cumulative rates of reoperation. If P < 0.1 in KM survival analysis, the variables would be included in subsequent Cox survival analysis to explore the influencing need for reoperation of a femoral neck fracture. Next, all of the 190 patients were divided into perfect reduction group (Garden Alignment Index I) and imperfect reduction group (Garden Alignment Index II, III, IV). Propensity score matching (PSM) analysis resulted in 39 pairs. After the baseline variables were balanced between the two groups, cox survival analysis was utilized again to explore the variables influencing the need of reoperation of a femoral neck fracture. Finally, KM survival analysis was utilized to compare the cumulative rate of reoperation between perfect reduction (Group PR) and imperfect reduction (Group IR) as a subgroup analysis.
resultsBefore PSM analysis, the mean age was 49.96 ± 12.02 years and the total reoperation rate was 17.40%. Cox survival analysis showed that only reduction quality was interrelated with the need for reoperation before PSM analysis and after PSM analysis. Kaplan-Meier cumulative reoperation rate was higher in Group IR than in Group PR after PSM analysis.
conclusionTo prolong the service life of the original femoral head, it is essential to achieve a completely anatomical reduction and maintain the reduction quality until the patient fully recovers.
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