SynthesisJournal of orthopaedic surgery and research2023
The incidence and risk factors for femoral head necrosis after femoral neck fracture in pediatric patients: a systematic review and meta-analysis.
Synthesis in Journal of orthopaedic surgery and research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.
What it found
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Who cites it
11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 17 citations in OpenAlex.
- Risk factors for avascular necrosis in pediatric femoral neck fractures: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- Association of hardware removal with secondary osteonecrosis following femoral neck fractures: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2023Pooled it
- Plate Versus Screw Fixation in Treating Pediatric Femoral Neck Fractures: A Systematic Review.Journal of pediatric orthopedicsPooled it
- Comparing the outcome of pediatric femoral neck fracture between Ti-Robot surgery and traditional surgery.Journal of children's orthopaedics · 2026Article
- Comparison of pediatric proximal femoral locking plates and dynamic hip screws in the fixation of pediatric intertrochanteric fractures, a biomechanical study.Archives of orthopaedic and trauma surgery · 2026Article
- Follow-up After Proximal Femur Fracture Fixation-We Need to Do Better.Journal of the Pediatric Orthopaedic Society of North America · 2025Article
- Research on the analysis of morphological characteristics in pediatric femoral neck fractures utilizing 3D CT mapping.Medical & biological engineering & computing · 2025Article
- Risk factors of avascular femoral head necrosis after a pediatric femoral neck fracture: a 15-year follow up and an adjustment to the Delbet classification.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Is an additional cannulated screw necessary for unstable femoral neck fractures with comminuted posteromedial cortex by femoral neck system (FNS) fixation? a biomechanical and clinical study.Frontiers in bioengineering and biotechnology · 2025Article
- Long-term outcome of robotic-guided closed reduction internal fixation for Delbet II femoral neck fractures in children.Journal of orthopaedic surgery and research · 2024Article
- Management of Slipped Capital Femoral Epiphysis (SCFE) on Top of Fixed Fracture Neck of Femur (Case Report).The archives of bone and joint surgery · 2023Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe incidence of avascular necrosis (AVN) after pediatric femoral neck fracture (PFNF) in the literature varies widely, and the risk factors associated with AVN after PFNF are controversial. Therefore, this study aimed to accurately investigate the incidence of AVN after PFNF and systematically evaluate and meta-classify their risk factors.
methodsA comprehensive search was performed of PubMed, Web of Science, and Embase. The pooled rate and 95% confidence interval (CI) were used to assess the incidence of AVN after PFNF, and pooled odds ratio (OR) were calculated to measure the effect sizes. In addition, we performed subgroup, stratified, and publication bias analyses.
resultsA total of 30 articles were included in our meta-analysis, with 303 AVN cases among 1185 patients. The pooled incidence of AVN after PFNF was 22% (95% CI 18%, 27%). Subgroup analyses indicated Delbet type I-IV fracture incidences with AVN of 45%, 32%, 17%, and 12%, respectively. The incidence of AVN after PFNF in Asia was 19%, lower than in Africa at 36%, Europe at 26%, and North America at 23%. In addition, the larger sample size group and the earlier published literature group showed a higher incidence of necrosis. Stratified analyses showed that patient age and Delbet fracture classification were both important factors affecting AVN after PFNF (OR = 1.61, p = 0.02 and OR = 3.02, p < 0.001, respectively), while the time to treatment was not (OR = 0.9, p = 0.71).
conclusionThe pooled incidence of AVN after PFNF was ~ 22%; furthermore, the available evidence demonstrates that patient age and Delbet type of fracture were important influencing factors of AVN after PFNF.
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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.