ArticleWorld journal of clinical cases2022
Efficacy of the femoral neck system in femoral neck fracture treatment in adults: A systematic review and meta-analysis.
Article in World journal of clinical cases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 18 citations in OpenAlex.
- 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
- Time to surgery and preoperative posterior tilt predict reoperation after femoral neck system fixation in older adults with nondisplaced femoral neck fractures: a retrospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Finite element analysis of the influence of femoral neck system implantation angle on biomechanical stability in femoral neck fractures: a mechanistic exploration.BMC musculoskeletal disorders · 2026Article
- Article
- Biomechanical implications of femoral neck system removal following femoral neck fracture treatment in low bone mineral density conditions.Scientific reports · 2025Article
- A machine learning model for predicting postoperative complication risk in young and middle-aged patients with femoral neck fractures.Frontiers in surgery · 2025Article
- Minimally invasive total hip arthroplasty versus minimally invasive hemiarthroplasty for geriatric femoral neck fractures: efficacy and impact on inflammatory and stress markers.American journal of translational research · 2025Article
- Comparison of three different internal fixation methods in the treatment of femoral neck fracture.Heliyon · 2024Article
- Low reoperation rate after fixation of displaced femoral neck fractures with the femoral neck system (FNS).European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Superior short-term outcomes of FNS in combination with a cannulated screw in treating femoral neck fractures.BMC musculoskeletal disorders · 2023Article
- 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
- Comparison of the clinical efficacy of three cannulated screws with parallel distribution and inverted triangular distribution in the treatment of femoral neck fractures in the elderly.Experimental and therapeutic medicine · 2023Article
- Mechanical analysis of the femoral neck dynamic intersection system with different nail angles and clinical applications.World journal of clinical cases · 2023Article
- Femoral Neck System and Cannulated Compression Screws in the Treatment of Femoral Neck Fractures: Umbrella Review of Meta-Analyses.JB & JS open accessReview
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundControversy remains around the available choices for the internal fixation of a femoral neck fracture. The femoral neck system (FNS) was developed in 2018 and has been widely applied since then as it can provide rigid fixation stability with less damage to the bone mass around the fracture. However, no systematic reviews and meta-analyses have investigated the efficacy of the FNS in comparison with that of traditional internal fixation in the treatment of femoral fractures.
aimTo assess the efficacy of the FNS in comparison with that of cannulated compression screws (CCS) in the treatment of femoral fractures through systematic review and meta-analysis.
methodsFive electronic databases (PubMed, Embase, Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure, and Wanfang) were searched from the earliest publication date to December 31, 2021. Reference Citation Analysis (https://www.referencecitationanalysis.com/) was used to check the results and further analyze the related articles. Controlled trials were included if the FNS was applied for the femoral neck fracture in adults and if it was compared with CCS for the achievement of internal fixation. The measurement outcomes included the required operation time, observed patient's blood loss, extent of fracture healing, patient's Harris Hip score (HHS) at the last follow-up, and records of any complications (such as failure of internal fixation, femoral neck shortness, avascular necrosis of the femoral head, and delayed union or nonunion).
resultsTen retrospective controlled studies (involving 711 participants) were included in this meta-analysis. The meta-analysis showed that compared with CCS, use of the FNS could not decrease the operation time [standardized mean difference (SMD): -0.38, 95% confidence interval (CI): -0.98 to 0.22,
conclusionCompared with CCS, the FNS could decrease the chances of developing femoral neck shortness and delayed union or nonunion in adults with femoral neck fractures. Simultaneously, it could accelerate fracture healing and improve the HHS in these patients.
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