Evidence map›Paper›PMID 36105033›Full record

ArticleAmerican journal of translational research2022

Femoral neck system versus cannulated screws for fixation of femoral neck fracture in young adults: a systematic review and meta-analysis.

Yao Lu, Zhilong Huang, Yibo Xu, Qiang Huang, Cheng Ren, Ming Li, Zhong Li, Liang Sun, Hanzhong Xue, Kun Zhang and 2 more

Abstract read
In one paragraph

Article in American journal of translational research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Complications and risk factors after internal fixation of femoral neck fractures in young and middle-aged patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  5. Article
  6. Article
  7. Low reoperation rate after fixation of displaced femoral neck fractures with the femoral neck system (FNS).European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
  8. Article
  9. Article
  10. Review
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

12 authors.

Yao LuDepartment of Orthopaedic Surgery, Honghui Hospital, Xi'an Jiaotong University Xi'an 710054, Shaan'xi Province, China.
Zhilong HuangDepartment of Orthopaedic Surgery, The Nuclear Industry 417 Hospital Xi'an 710600, Shaan'xi Province, China.
Yibo XuDepartment of Orthopaedic Surgery, Honghui Hospital, Xi'an Jiaotong University Xi'an 710054, Shaan'xi Province, China.
Qiang HuangDepartment of Orthopaedic Surgery, Honghui Hospital, Xi'an Jiaotong University Xi'an 710054, Shaan'xi Province, China.
Cheng RenDepartment of Orthopaedic Surgery, Honghui Hospital, Xi'an Jiaotong University Xi'an 710054, Shaan'xi Province, China.
Ming LiDepartment of Orthopaedic Surgery, Honghui Hospital, Xi'an Jiaotong University Xi'an 710054, Shaan'xi Province, China.
Zhong LiDepartment of Orthopaedic Surgery, Honghui Hospital, Xi'an Jiaotong University Xi'an 710054, Shaan'xi Province, China.
Liang SunDepartment of Orthopaedic Surgery, Honghui Hospital, Xi'an Jiaotong University Xi'an 710054, Shaan'xi Province, China.
Hanzhong XueDepartment of Orthopaedic Surgery, Honghui Hospital, Xi'an Jiaotong University Xi'an 710054, Shaan'xi Province, China.
Kun ZhangDepartment of Orthopaedic Surgery, Honghui Hospital, Xi'an Jiaotong University Xi'an 710054, Shaan'xi Province, China.
Qian WangDepartment of Orthopaedic Surgery, Honghui Hospital, Xi'an Jiaotong University Xi'an 710054, Shaan'xi Province, China.
Teng MaDepartment of Orthopaedic Surgery, Honghui Hospital, Xi'an Jiaotong University Xi'an 710054, Shaan'xi Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFemoral neck fracture treatment in young adults remains controversial. Cannulated screws (CS) and femoral neck system (FNS) are well-accepted methods for femoral neck fracture treatment; however, these methods are associated with complications. This meta-analysis aimed to evaluate the relative safety and effectiveness of CS and FNS for treating young patients with femoral neck fractures.

methodsWe searched the following sources for studies that compared CS and FNS fixation: Cochrane library, Embase, PubMed, Web of Science, Wanfang data, China National Knowledge Infrastructure, China Biology Medicine disc, and Chinese Science and Technology Journals. The outcomes were surgical and prognostic results and complications.

resultsThis meta-analysis included eight studies. The pooled results revealed that the two fixation methods were similar in terms of the operation time, length of hospital stay, healing time, intraoperative blood loss, non-union, femoral head necrosis, and internal fixation cut-out. Compared with CS fixation, FNS fixation required fewer intraoperative fluoroscopies and had better Harris Hip Score, earlier weight-bearing, lower number of total complications, lesser femoral neck shortening, and lesser extent of nail retreat.

conclusionFNS fixation outperforms CS fixation in terms of intraoperative fluoroscopies, Harris Hip Score, and morbidity in young patients with femoral neck fractures. Clinicians should consider FNS as a first choice in treating femoral neck fracture in young adults, except where this approach is contraindicated.

Indexed as

cannulated screwsfemoral neck fracturefemoral neck systemYoung adults

Identifiers

PMID36105033
PMCPMC9452327

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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.