Trial reportJournal of orthopaedic surgery and research2025
Femoral neck system versus cannulated screws combined with medial plate for femoral neck fractures in young and middle-aged patients: a prospective multicenter randomized controlled trial.
Trial report in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
What it found
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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
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- What patient reported outcome measures are used in clinical trials in hip fracture? A systematic mapping review.BMC musculoskeletal disorders · 2026Pooled it
- Femoral neck locking plate versus multiple cannulated screws for femoral neck fractures in young adults: a randomized controlled trial.BMC musculoskeletal disorders · 2025Trial
- Incidence and risk factors for fixation failure of femoral neck fractures in adults: a single-center multifactorial analysis.Langenbeck's archives of surgery · 2026Article
- Biomechanical and clinical evaluation of the posterosuperior screw in-out-in in the inverted triangular cannulated screws fixation of femoral neck fractures.Frontiers in bioengineering and biotechnology · 2026Article
- Total hip replacement versus bipolar femoral head replacement for femoral neck fractures in the elderly: effect on surgical indices, hip function, and postoperative complications.American journal of translational research · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFemoral neck system (FNS) and cannulated screws combined with medial plate (CS with medial plate) both are commonly used internal fixation for femoral neck fractures in recent years. There is a debate that which is the better choice for young and middle-aged patients with femoral neck fractures. The objective of the study is to compare clinical effects of FNS and CS with medial plate on young and middle-aged patients with femoral neck fractures by a prospective multicenter randomized controlled trial for the first time.
methodsPatients between 18 and 65 years old with femoral neck fractures were allocated to FNS fixation and CS with medial plate fixation with 2 years follow-up. The primary outcomes included fracture bone union rate and Harris hip score. The secondary outcomes included Garden's alignment index, surgical data, Barthel index, visual analogue scale (VAS), gait analysis and complications during follow-up. Statistical analysis was performed by multiple linear regression and logistics regression.
results165 patients in FNS group and 166 patients in CS with medial plate group were analyzed finally. There was no statistical difference in bone union rate, Garden's alignment index, Barthel index, gait analysis between two groups. The FNS group had a higher Harris hip score at 3 months after operation (P < 0.05), lower surgical data including operation time, intraoperative blood loss and fluoroscopy frequency (P < 0.001) and lower VAS at 1 month after operation (P < 0.05) than that of CS with medial plate group, but no significant difference at 3, 6, 12, and 24 months. There was no statistical difference in the incidence of complications between groups, except the incidence of coxa vara, which is higher in FNS group (P < 0.05).
conclusionsFor young and middle-aged patients with femoral neck fractures, both FNS and CS combined with a medial plate are effective.
trial registrationChiCTR2100042960, registered 1 February 2021, http://www.chictr.org.cn .
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