ArticleJournal of orthopaedic case reports2025
Failure of the Femoral Neck System in a Young Patient: A Case Report.
Article in Journal of orthopaedic case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Femoral neck fractures in young adults are rare but carry a high risk of complications, including non-union and implant failure. The femoral neck system™ (FNS) is a newer fixation device designed to enhance mechanical stability while minimizing surgical morbidity. Limited reports exist on its failure modes. The purpose of this case report is to describe a unique failure of the FNS and the challenges encountered during revision surgery. Case Report: A 21-year-old female sustained a basicervical femoral neck fracture and underwent fixation with the FNS and an additional headless screw at an outside institution. Seven months post-operatively, she developed progressive, atraumatic hip pain and was unable to bear weight. Imaging revealed non-union and implant failure at the aperture where the bolt and antirotation screw exit the plate barrel. Revision surgery included intertrochanteric valgus osteotomy and blade plate fixation. Removal of the broken FNS components was technically demanding and required trephination, leading to further compromise of the femoral head and neck bone stock. Conclusion: This case highlights a rare failure mode of the FNS involving simultaneous failure of the bolt and antirotation screw at the barrel aperture. Surgeons should be aware of this potential complication and the technical challenges it may pose during implant removal and revision surgery. These considerations may influence implant selection and pre-operative planning, particularly in young patients at risk for non-union.
Indexed as
Identifiers
What OpenQuestion holds
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.