SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023
The use of the femoral neck system (FNS) leads to better outcomes in the surgical management of femoral neck fractures in adults compared to fixation with cannulated screws: A systematic review and meta-analysis.
Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
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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
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Comparative efficacy and safety of three internal fixation strategies for femoral neck fractures: a network meta-analysis.Frontiers in medicine · 2026Pooled it
- Early mechanical failure patterns after femoral neck fixation with the femoral neck system and dynamic hip screw.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Exploring the Effectiveness of "Four-Point" Configuration Cannulated Compression Screw Implantation Protocol for the Fixation of Pauwels Type III Femoral Neck Fractures in Adults.Orthopaedic surgery · 2026Article
- Four different fixation strategies for ipsilateral femoral neck and shaft fractures: a finite element analysis.Journal of orthopaedic surgery and research · 2026Article
- Clinical and radiographic outcomes of multiple cannulated cancellous screw fixation versus the femoral neck system for femoral neck fractures in the elderly: a multicenter retrospective comparative study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Article
- Does Preoperative CT Improve Outcomes in Femoral Neck Fracture Fixation? A Retrospective Study.Journal of clinical medicine · 2025Article
- Comparison of femoral neck system fixation outcomes in nondisplaced femoral neck fractures: a multicenter retrospective study of patients aged below and above 75 years.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Comparative efficacy of different anti-shortening screws in preventing postoperative shortening in displaced femoral neck fractures: a retrospective cohort study.Journal of orthopaedic surgery and research · 2025Article
- Reduction of complications in femoral neck fracture fixation using femoral neck system: the importance of pre-compression technique and power bar position.Frontiers in medicine · 2025Article
- Article
- Outcomes of internal fixation with Femoral Neck System (FNS) for intracapsular femoral neck fractures.OTA international : the open access journal of orthopaedic trauma · 2024Article
- Mechanical analysis of modified femoral neck system in the treatment of osteoporotic femoral neck fractures.BMC musculoskeletal disorders · 2024Article
- Letter to the editor regarding "Comparison of femoral neck system versus cannulated cancellous screws for the fixation of femoral neck fracture: a single‑center retrospective cohort study".European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Finite Element Analysis of Six Internal Fixations in the Treatment of Pauwels Type III Femoral Neck Fracture.Orthopaedic surgery · 2024Article
- A recent update on the fixation techniques for femoral neck fractures: A narrative review.Journal of clinical orthopaedics and trauma · 2024Article
- Biomechanical changes in the proximal femur before and after removal of femoral neck system.Journal of orthopaedic surgery and research · 2024Article
- Management of floating hip injury: a review of the literature.EFORT open reviews · 2024Article
- Restoration of Hip Geometry after Femoral Neck Fracture: A Comparison of the Femoral Neck System (FNS) and the Dynamic Hip Screw (DHS).Life (Basel, Switzerland) · 2023Article
- Circular external fixation for knee fusion in complex indications.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntracapsular femoral neck fractures are challenging to treat, with outcomes depending on the quality of reduction, and the stability of fixation. Cannulated cancellous screws (CCS) are the most commonly used implants to fix these fractures, but failure rates are significant. The recently introduced femoral neck system (FNS) may be a better option than CCS fixation and this review attempts to compare the results.
methodsFour electronic databases were searched for eligible articles that had comparative data on the outcomes of fixation of adult femoral neck fractures with FNS and CCS. Data on various outcome parameters were collected. Meta-analysis was conducted using a random-effects model with 95% confidence intervals.
resultsEight studies with 509 cases having a mean age of 50.8 years were included for final analysis. FNS was found to be associated with significantly reduced complication rates (p < 0.001), decreased incidence of postoperative femoral neck shortening (p < 0.001), quicker time to fracture union (p = 0.002), and better functional outcome scores (p < 0.001) compared to cannulated screws. FNS was also associated with a shorter operating time (mean difference 6.65 min) although not statistically significant (p = 0.24). CCS group had significantly reduced mean blood loss (p < 0.001).
conclusionThe available literature supports FNS as a better option for adult femoral neck fractures, with a lower complication rate, quicker union, and better clinical outcomes. LEVEL OF EVIDENCE: Level 3.
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Registered trials
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.