Evidence map›Paper›PMID 39581960›Full record

SynthesisJournal of orthopaedic surgery and research2024

Global incidence of osteonecrosis of the femoral head after femoral neck fracture surgery in adolescents: a meta-analysis.

Bangning Gu, Fangming Yao, Peng Peng, Zijun Zeng, Wei He, Qiushi Wei

Abstract readMeta-Analysis
In one paragraph

Synthesis in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

6 authors.

Bangning GuThe Third School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China.
Fangming YaoThe Third School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China.
Peng PengThe Third School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China.
Zijun ZengThe Third School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China.
Wei HeGuangdong Research Institute for Orthopedics and Traumatology of Chinese Medicine, Guangzhou, China. hw13802516062@163.com.
Qiushi WeiGuangdong Research Institute for Orthopedics and Traumatology of Chinese Medicine, Guangzhou, China. weiqshi@126.com.

Funding

General Projects of National Natural Science Foundation of China 82274544
6 · The paper itself

Abstract

backgroundOsteonecrosis of the femoral head (ONFH) is a significant postoperative complication following femoral neck fractures (FNFs) in adolescents, that has garnered considerable attention from researchers. Despite this interest, the incidence of ONFH in adolescents post-FNF surgery has not been extensively evaluated. To contribute to the body of research, we performed a meta-analysis utilizing articles sourced from multiple databases, with an emphasis on the rate of ONFH occurrence in young adolescents following FNF surgery.

objectiveThe purpose of this study was to investigate the incidence of ONFH after FNFs in adolescents worldwide and analyse potential risk factors affecting its occurrence to provide guidance for the treatment and rehabilitation after FNFs in adolescents and reduce the incidence of ONFH.

methodsA comprehensive search of medical literature databases, including MEDLINE, Web of Science, the Cochrane Library, and Embase, was conducted to identify relevant studies on ONFH and its associated risk factors after surgical treatment for FNFs in adolescents, covering the period from the establishment of the database to April 2024. Studies that did not meet the inclusion criteria were excluded. The study was conducted based on the preferred reporting items for systematic reviews and meta-analyses (PRISMA). Literature extraction, management, and data entry were performed using Zotero 6.0 and Excel 2016. The meta-analysis was conducted using R Studio 4.2.2. Subgroup analysis, sensitivity analysis, and assessment of publication bias were performed to explore sources of heterogeneity and evaluate the reliability of the results. This study has been registered on Prospero. (registration number: CRD4202452794; date of registration: 03/04/2024)

resultsA total of 17 publications involving 862 patients with FNFs were included in this meta-analysis. The findings revealed that the incidence of ONFH after FNF surgery in adolescents was 24.02% [95% CI (0.2118, 0.2712)]. The included studies demonstrated good consistency, and no publication bias was observed.

conclusionThis study revealed that the incidence of ONFH after FNFs in adolescents is high (24.02%). Early screening and effective treatment of postoperative patients are crucial.

Indexed as

Femoral Neck FracturesFemur Head NecrosisPostoperative ComplicationsAdolescentFemaleGlobal HealthHumansIncidenceMaleRisk FactorsAdolescentsFemoral neck fractureIncidenceMeta-analysisOsteonecrosis of the femoral head

Identifiers

PMID39581960
PMCPMC11587670

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.