Evidence map›Paper›PMID 38775110›Full record

Observational studyActa orthopaedica2024

Basicervical femoral neck fractures: an observational study derived from the Swedish Fracture Register.

Jonas Sundkvist, Per Hulenvik, Viktor Schmidt, Per Jolbäck, Mikael Sundfeldt, Per Fischer, Cecilia Rogmark, Hans Juto, Olof Wolf, Sebastian Mukka

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Acta orthopaedica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Observational
  3. Optimizing Surgical Strategies for Elderly Patients With Femoral Neck Fracture: The Critical Role of Comorbidities.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025
    Article
  4. Review
  5. Observational
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jonas SundkvistDepartment of Diagnostics and Intervention (Orthopaedics), Umeå University, Umeå. Jonas.sundkvist@umu.se.
Per HulenvikInstitute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg.
Viktor SchmidtDepartment of Diagnostics and Intervention (Orthopaedics), Umeå University, Umeå.
Per JolbäckDepartment of Orthopaedics, Institute of Clinical Science, The Sahlgrenska Academy, Gothenburg University, Gothenburg; Department of Research, Development, Education and Innovation, Skaraborg Hospital, Skövde.
Mikael SundfeldtInstitute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg.
Per FischerFaculty of Medicine and Health, Örebro University, Örebro; Department of Orthopedics, Karlstad Central Hospital, Karlstad, Region Värmland.
Cecilia RogmarkDepartment of Orthopaedics, Lund University, Skåne University Hospital, Malmö.
Hans JutoDepartment of Diagnostics and Intervention (Orthopaedics), Umeå University, Umeå.
Olof WolfDepartment of Surgical Sciences, Orthopaedics, Uppsala University, Uppsala, Sweden.
Sebastian MukkaDepartment of Diagnostics and Intervention (Orthopaedics), Umeå University, Umeå.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeLimited research has been conducted on basicervical femoral neck fractures (bFNFs). The importance of displacement in clinical outcomes remains unclear. We aimed to characterize patient demographics, degree of displacement, treatment, treatment failures, and reoperations in a cohort of fractures from the Swedish Fracture Register (SFR).

methods1,260 fractures in 1,185 individuals ≥ 60 years who had a bFNF registered in the SFR at 6 orthopedic departments from 2011 to 2020 were screened through radiographic review. The final sample included 291 patients with a confirmed bFNF. The medical records of these 291 patients were reviewed. We assessed baseline characteristics, initial fracture dislocation, treatment methods, tip-apex distance, failures, reoperations, and mortality.

resultsThe mean age was 82 years (range 60-101, 55% women). 98 (34%) were undisplaced and 193 (66%) displaced. All patients underwent operative treatment. In the undisplaced group 95 (97%) patients received internal fixation (IF) and 3 (3%) had primary hip arthroplasty. In the displaced group 149 (77%) received IF and 41 (21%) had primary hip arthroplasty. 33 (11%) suffered treatment failure. When treating an undisplaced bFNF with IF, only 3 (3%) experienced treatment failure, in contrast to the 24 (16%) failure rate for a displaced bFNF.

conclusionUndisplaced bFNFs have a low failure rate when treated with IF. For displaced bFNF treated with IF the failure rate is considerably higher. There is a need for further investigation of classification, treatment, and outcome of bFNF.

Indexed as

Femoral Neck FracturesFracture Fixation, InternalRegistriesAgedAged, 80 and overArthroplasty, Replacement, HipFemaleHumansMaleMiddle AgedReoperationSwedenTreatment Failure

Identifiers

PMID38775110
PMCPMC11109924

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.