ArticleBMC musculoskeletal disorders2023
Nonanatomical reduction of femoral neck fractures in young patients treated with femoral neck system: a retrospective cohort study.
Article in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Is the tip-apex distance a reliable predictor of implant failure in surgical fixation of femoral neck fractures with the synthes femoral neck system device?BMC musculoskeletal disorders · 2026Article
- Clinical efficacy of manual reverse closed reduction and robot-assisted cannulated screw fixation for valgus-impacted osteoporotic femoral neck fractures in the elderly: a retrospective cohort study.Frontiers in surgery · 2026Article
- Biomechanical effects of FNS on femoral neck fractures based on different reduction quality: finite element analysis.BMC musculoskeletal disorders · 2024Article
- Five states of reduction in OTA/AO A1.3 intertrochanteric fractures of the femur a biomechanical study.BMC musculoskeletal disorders · 2024Article
- Nonanatomical reduction of femoral neck fractures in young patients with different Pauwels classifications: a retrospective study and finite element analysis.BMC musculoskeletal disorders · 2024Article
- Evaluation of the clinical efficacy of using an inverted triangular cannulated compression screw in combination with positive or negative buttress reduction for the healing of femoral neck fractures.BMC musculoskeletal disorders · 2024Article
- Positive buttress reduction in femoral neck fractures: a literature review.Journal of orthopaedic surgery and research · 2024Review
- Pre-sliding of the femoral neck system to prevent postoperative shortening of femoral neck fractures.Heliyon · 2024Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeNegative buttress reduction should be avoided in the treatment of femoral neck fractures (FNFs) using conventional fixation. As the femoral neck system (FNS) has been recently developed and utilized widely to treat FNFs, the association of reduction quality with postoperative complications and clinical function has not been clarified. The purpose of this study was to evaluate the clinical effect of nonanatomical reduction in young patients with FNFs treated with FNS.
methodsThis multicenter, retrospective cohort study included 58 patients with FNFs treated with FNS between September 2019 and December 2021. According to the reduction quality immediately following surgery, patients were classified into positive, anatomical, and negative buttress reduction groups. Postoperative complications were assessed with 12 months of follow-up. The logistic regression model was used to identify risk factors for postoperative complications. The postoperative hip function was assessed using the Harris hip scores (HHS) system.
resultsAt a follow-up of 12 months, a total of eight patients (8/58, 13.8%) had postoperative complications in three groups. Compared with the anatomical reduction group, negative buttress reduction was significantly associated with a higher complication rate (OR = 2.99, 95%CI 1.10-8.10, P = 0.03). No significant associations were found between positive buttress reduction and the incidence of postoperative complications (OR = 1.21, 95%CI 0.35-4.14, P = 0.76). The difference was not statistically significant in Harris hip scores.
conclusionNegative buttress reduction should be avoided in young patients with FNFs treated with FNS.
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