ArticleBMC musculoskeletal disorders2023
Pre-sliding of femoral neck system improves fixation stability in pauwels type III femoral neck fracture: a finite element analysis.
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 11 papers.
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.
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.
Who cites it
11 citing papers in PubMed, 13 citations in OpenAlex.
- Femoral Neck System in Pauwell III Femoral Neck Fractures: A Bibliometric Analysis and Review.Cureus · 2026Review
- Effect of three cannulated compression screws combined with an obstructing screw on the biomechanical performance of pauwels type III femoral neck fractures: a finite element analysis.BMC musculoskeletal disorders · 2025Article
- Comparative study of rhBMP-2 assisted femoral neck system and cannulated screws in femoral neck fractures: clinical efficacy and psychological status.Scientific reports · 2025Article
- Additional Screw Added to the Femoral Neck System Could Enhance the Stability of Pauwel Type III Femoral Neck Fractures: a Finite Element Analysis.Clinics in orthopedic surgery · 2025Article
- Impact of femoral neck system removal after femoral neck fracture healing on biomechanical stability and screw stripping risk.Biomedical engineering letters · 2025Article
- Computational evaluation of the biomechanical effects of position changes in the femoral neck system on Pauwels type III femoral neck fractures: an in silico study.Frontiers in bioengineering and biotechnology · 2025Article
- Optimal sliding distance in femoral neck system for displaced femoral neck fractures: a retrospective cohort study.Journal of orthopaedic surgery and research · 2024Article
- A finite element analysis of a low-profile femoral neck system of screws in sleeves in a vertical femoral neck fracture model.BMC musculoskeletal disorders · 2024Article
- Pre-sliding technique to improve femoral neck system against the shortening: a retrospective cohort study.BMC musculoskeletal disorders · 2024Article
- Pre-sliding of the femoral neck system to prevent postoperative shortening of femoral neck fractures.Heliyon · 2024Article
- Characteristics and Treatment Strategies for Basicervical and Transcervical Shear Fractures of the Femoral Neck.Journal of clinical medicine · 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
8 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundFemoral neck fractures are a common injury in older adults and their management presents a significant challenge for orthopedic surgeons. The Femoral Neck System (FNS) was recently introduced for the fixation of femur neck fractures. Although neck shortening was reduced with the FNS, the complication rates were not reduced. Thus, improvements to enhance fixation stability should be made for the FNS. We hypothesized that (1) the pre-sliding technique and (2) the use of longer anti-rotation screw would increase fracture stability. This study aimed to determine the change in fracture stability using the pre-sliding technique and long anti-rotation screw in the FNS for fixation of Pauwels type III femoral neck fractures.
methodsFinite element models of Pauwels type III femoral neck fracture fixed with pre-sliding FNS and 5-mm longer anti-rotation screw were established. The models were subjected to normal walking load. The material properties of the elements belonging to the bone were mapped by assigning the formulation with the computed tomography Hounsfield unit.
resultsPauwels type III femoral neck fractures fixed with pre-slided FNS showed better fracture stability, decreasing fracture gap and sliding by 14% and 12%, respectively, under normal walking load. No element of cortical bone in any of the models had an absolute value of principal strain that exceeded 1%. The peak von Mises stress (VMS) of the implants ranged from 260 to 289 MPa, and the highest peak VMS value was 50% lower than the yield strength of the titanium alloy (800 MPa). The longer anti-rotation screw did not affect fracture stability.
conclusionsThe pre-sliding technique using the FNS showed higher fracture stability than the standard fixation technique for a Pauwels type III femoral neck fracture. The longer anti-rotation screw did not contribute significantly to fixation stability. As this finite element analysis considered the inhomogeneous mechanical property of the bone, it offered equivalent mechanical conditions to investigate the components of interest.
Indexed as
Identifiers
What OpenQuestion holds
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.