SynthesisInternational journal of environmental research and public health2022
The Risk of Avascular Necrosis Following the Stabilization of Femoral Neck Fractures: A Systematic Review and Meta-Analysis.
Synthesis in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 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.
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.
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Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Effect of different types of internal fixation on the incidence of femoral head necrosis in adult femoral neck fractures: a single-arm rate and network meta-analysis.European journal of medical research · 2025Pooled 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
- Does Diabetes Mellitus Increase the Risk of Avascular Osteonecrosis? A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022Pooled it
- Enhanced external counterpulsation-assisted cannulated screw fixation promoted femoral neck fracture healing: a pilot randomized controlled trial.BMC musculoskeletal disorders · 2025Trial
- Gamma Nail Combined with One Cannulated Compression Screw Fixation for Treating Pauwels Type III Femoral Neck Fractures in Young and Middle-Aged Adults: Clinical Follow-Up and Biomechanical Studies.Orthopaedic surgery · 2023Trial
- 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
- Article
- A predictive model integrating three-dimensional displacement for osteonecrosis of femoral head following femoral neck fractures: a retrospective cohort study.Quantitative imaging in medicine and surgery · 2026Article
- A minimum of 16° of rotation of transcervical femoral neck fractures leads to arterial collapse: an anatomical cadaveric study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Femoral Neck Fracture With Anterior Tilt.Orthopaedic surgery · 2026Article
- Reliability of 3D quantitative displacement of femoral neck fracture site measured via CT and its correlation with femoral head avascular necrosis: a retrospective cohort study.Quantitative imaging in medicine and surgery · 2026Article
- Peri-Implant Subcapital Femur Fracture Post Cephalomedullary Nail Fixation.Case reports in orthopedics · 2026Article
- Article
- A Retrospective Study on the Relationship Between Calcar Femorale Injury and Postoperative Complications of Femoral Neck Fracture in Young and Middle-Aged Patients Treated With Three Cannulated Screws.Orthopaedic surgery · 2025Article
- Does Preoperative CT Improve Outcomes in Femoral Neck Fracture Fixation? A Retrospective Study.Journal of clinical medicine · 2025Article
- A toolbox for the identification of foot-floor contact sequences to analyze atypical gait cycles in a real-life scenario: application on patients after proximal femur fracture and healthy elderly.Journal of neuroengineering and rehabilitation · 2025Article
- Neglected Ipsilateral Non-Union Neck of Femur with Shaft of Femur Non-Union in A Young Patient and Its Management - A Rare Case Report.Journal of orthopaedic case reports · 2024Article
- Comparison of dynamic compression system versus multiple cancellous screws in the treatment of femoral neck fractures in young adults.Journal of orthopaedic surgery and research · 2024Article
- Extended Interportal Capsulotomy for Hip Arthroscopy, a Single-Center Clinical Experience.Medicina (Kaunas, Lithuania) · 2024Article
- Exploring the Impact of Novel Anti-Cancer Therapies on Jaw Osteonecrosis and Other Bones: A Comprehensive Review.Journal of clinical medicine · 2024Review
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Avascular necrosis (AVN) of the femoral head often requires surgical treatment and is often associated with femoral neck fractures. We conducted a systematic review and meta-analysis of recent research on the risk of AVN following the stabilization of fractured femoral neck with implants in PubMed. We assessed the effect of age on AVN incidence among patients aged > 50 and younger, depending on fracture type, Garden stage, Pouwels degree, Delbet stage, and age category. We followed PRISMA guidelines. Relevant studies were defined as research articles describing real-world studies reporting on the risk of AVN following primary surgical fracture stabilization with implants, published between 1 January 2011 and 22 April 2021. Fifty-two papers met the inclusion criteria, with a total of N = 5930 with surgically managed fractures. The pooled mean AVN incidence was significantly higher among patients with displaced fractures (20.7%; 95% CI: 12.8−28.5%) vs. those with undisplaced fractures (4.7%; 95% CI: 3.4−6.0%). No significant correlation was observed between AVN incidence weighted by sample size and time interval from injury to surgery (p = 0.843, R2 = 0.01). In conclusion, the risk of AVN following femoral neck fractures was generally high, especially in patients with displaced fractures. The time from injury to surgery did not correlate with AVN incidence.
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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.