Evidence map›Paper›PMID 40826062›Full record

Trial reportBMC musculoskeletal disorders2025

Femoral neck locking plate versus multiple cannulated screws for femoral neck fractures in young adults: a randomized controlled trial.

Yasser Ahmed Othman, Abdelrahman Hafez Khalefa, Islam Mohammed Ahmed, Khalaf Fathy Elsayed Ahmed

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06162637 (Femoral Neck Locking Plate Vs Multiple Cannulated Cancellous Screws in Treatment of Femoral Neck Fractures in Young Adults), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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.

NCT06162637 naunknown statusnot on this map

Femoral Neck Locking Plate Vs Multiple Cannulated Cancellous Screws in Treatment of Femoral Neck Fractures in Young Adults: Randomized Controlled Clinical Trial Study

TypeinterventionalSponsorEslam Mohamed AHmedRan2024 to 2025Enrolled20ConditionsFemoral Neck FracturesArmsfemoral neck locking plate, multiple cannulated cancellous screws
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. [Research progress in treatment of Garden typeZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Review
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

4 authors.

Yasser Ahmed OthmanOrthopaedics and Traumatology Department, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt.
Abdelrahman Hafez KhalefaOrthopaedics and Traumatology Department, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt.
Islam Mohammed AhmedOrthopaedics and Traumatology Department, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt.
Khalaf Fathy Elsayed AhmedOrthopaedics and Traumatology Department, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt. khalaffathy@med.sohag.edu.eg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundManaging femoral neck fractures (FNFs) in young adults remains a significant clinical dilemma. No single internal fixation method has demonstrated clear superiority. The aim of this study was to compare the clinical and radiographic outcomes of FNFs in young adults treated with femoral neck locking plate (FNLP) or conventional partially-threaded 6.5 mm multiple cannulated cancellous screws (MCCS).

methodsA randomized controlled clinical trial (RCT) study was conducted on 74 patients to assess FNLP and MCCS in management of FNFs in young adults in Sohag university hospital between October 2022 and October 2024. The outcomes included Harris Hip Score (HHS), weight-bearing timelines, radiographic union times, and complication rates.

resultsFNLP demonstrated superior functional outcomes with significantly higher HHS scores compared to MCCS. Patients treated with FNLP achieved earlier partial and full weight-bearing (p <.001) and faster radiographic union times (p =.012), indicating better biomechanical stability. MCCS had a significantly shorter operative time at (49.3 ± 3.5 min) compared to the FNLP group at (62.3 ± 9.9 min), (p =.042). Complication rates, including femoral neck shortening, avascular necrosis, and infection, were comparable between the two groups.

conclusionFNLP is a more effective fixation method for young adults with FNFs, offering faster functional recovery and improved radiographic outcomes. MCCS demonstrated significant shorter operative time which is a potential advantage especially in resources-constrained settings. Complication rates were similar between FNLP and MCCS, making MCCS a viable option in selected cases based on fracture severity, surgical expertise, and resources availability. LEVEL OF EVIDENCE: Level II therapeutic: prospective randomized controlled clinical trial.

trial registrationThe trial was retrospectively registered at 27 November, 2023 at www. CLINICALTRIALS: gov (Trial Registration Number: NCT06162637).

Indexed as

Bone PlatesBone ScrewsFemoral Neck FracturesFracture Fixation, InternalAdultFemaleHumansMalePostoperative ComplicationsTreatment OutcomeWeight-BearingYoung AdultFemoral neck fractureFemoral neck locking plateFunctional recoveryInternal fixationMultiple cannulated cancellous screws

Identifiers

PMID40826062
PMCPMC12359918

What OpenQuestion holds

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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.