Evidence map›Paper›PMID 39695853›Full record

SynthesisJournal of orthopaedic surgery and research2024

Fully-threaded cannulated screws versus partially-threaded cannulated screws for femoral neck fractures: a systematic review and meta-analysis.

Mingwang Jia, Chenning Ding, Xin Zhao, Xing Han, Jiahui Zhang, Xiguang Sang

Abstract readSystematic ReviewMeta-AnalysisComparative Study
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. Unilateral biportal endoscopic decompression for lumbar spinal stenosis in achondroplasia: a 30-month follow up case report.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    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.

Mingwang JiaDepartment of Emergency Surgery and Orthopaedic Surgery, Qilu Hospital of Shandong University, No. 107, West Wenhua Road, Jinan, Shandong, 250012, PR China.
Chenning DingDepartment of Emergency Surgery and Orthopaedic Surgery, Qilu Hospital of Shandong University, No. 107, West Wenhua Road, Jinan, Shandong, 250012, PR China.
Xin ZhaoDepartment of Emergency Surgery and Orthopaedic Surgery, Qilu Hospital of Shandong University, No. 107, West Wenhua Road, Jinan, Shandong, 250012, PR China.
Xing HanDepartment of Emergency Surgery and Orthopaedic Surgery, Qilu Hospital of Shandong University, No. 107, West Wenhua Road, Jinan, Shandong, 250012, PR China.
Jiahui ZhangDepartment of Emergency Surgery and Orthopaedic Surgery, Qilu Hospital of Shandong University, No. 107, West Wenhua Road, Jinan, Shandong, 250012, PR China.
Xiguang SangDepartment of Emergency Surgery and Orthopaedic Surgery, Qilu Hospital of Shandong University, No. 107, West Wenhua Road, Jinan, Shandong, 250012, PR China. sangxiguangtrauma@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveFemoral neck fractures (FNFs) are a common orthopedic type, and there are many treatment methods for it, and cannulated screw internal fixation is currently one of the main treatment methods. The choice of fully threaded cannulated screw (FCS) or partially threaded cannulated screw (PCS) remains controversial. Therefore, we performed this meta-analysis to evaluate the outcomes of FCS and PCS in the treatment of FNF.

methodsArticles published before 29 April, 2024 were selected from PubMed, Embase, the Cochrane Library, and CNKI, using the PRISMA guidelines. Two independent reviewers searched and assessed the literature. The PICOS criteria were used to ensure that the included studies met the inclusion criteria. We used RevMan 5.3. Software to perform analysis.

resultsCompared with the PCS group, the FCS group had a lower femoral head necrosis rate (OR 0.60, 95% CI 0.37-0.98, P = 0.04), lower internal fixation failure rate (OR 0.37, 95% CI 0.22-0.62, P = 0.0002) and lower femoral neck shortening rate (OR 0.27, 95% CI 0.19-0.40, P < 0.00001). There was no statistically significant difference between the two groups in terms of the Harris hip score or nonunion rate.

conclusionsThe results of this meta-analysis revealed that compared with PCS, FCS had a lower incidence of postoperative complications and better postoperative outcomes in the treatment of FNF. Therefore, we believe that FCS may be a more effective treatment for FNF.

Indexed as

Bone ScrewsFemoral Neck FracturesFracture Fixation, InternalFemur Head NecrosisHumansPostoperative ComplicationsTreatment OutcomeCannulated screwsFemoral neck fractureInternal fixationMeta-analysis

Identifiers

PMID39695853
PMCPMC11657179

What OpenQuestion holds

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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.