Evidence map›Paper›PMID 41148339›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025

Complications and risk factors after internal fixation of femoral neck fractures in young and middle-aged patients.

Yixin Huang, Dongze Lin, Shanglin Shangguan, Fengfei Lin

Abstract read
PubMed Publisher
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. [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.

Yixin Huang *Department of Orthopedics, Fujian Provincial Clinical Medical Research Center for Trauma Orthopedics Emergency and Rehabilitation, Fuzhou Second General Hospital, Fuzhou, 350007, China.ORCID http://orcid.org/0000-0002-0588-6627
Dongze Lin *Department of Orthopedics, Fujian Provincial Clinical Medical Research Center for Trauma Orthopedics Emergency and Rehabilitation, Fuzhou Second General Hospital, Fuzhou, 350007, China.ORCID http://orcid.org/0000-0002-2095-7665
Shanglin Shangguan *Anxi County Hospital, Quanzhou, 362400, Fujian, China.
Fengfei LinDepartment of Orthopedics, Fujian Provincial Clinical Medical Research Center for Trauma Orthopedics Emergency and Rehabilitation, Fuzhou Second General Hospital, Fuzhou, 350007, China. 596558644@qq.com.ORCID http://orcid.org/0000-0002-4360-0386

Funding

Medical Innovation Project of Fujian Province 2022CXA054Natural Science Foundation of Fujian 2023J011514outh Research Project of Fujian Provincial Health Commission 2022QNA086Project of Fujian Provincial Clinical Medical Research Center for First Aid and Rehabilitation in Orthopaedic Trauma 2020Y2014
6 · The paper itself

Abstract

objectiveThis study evaluated postoperative complications and risk factors in young and middle-aged adults with femoral neck fractures.

methodsA retrospective case-control study was conducted on 380 patients who underwent internal fixation for femoral neck fractures between September 2019 and March 2022. The study included patients aged 16 to 65 years with unilateral femoral neck fractures treated with FNS or CCS, with a minimum follow-up of 24 months. Data collected included demographic information, clinical details, radiographic assessments, and postoperative complications. Multivariate logistic regression analysis was used to identify risk factors for complications.

resultsThe study included 380 patients with a mean follow-up of 28.5 ± 2.2 months and a mean age of 34.79 ± 12.76 years. In the FNS group (193 patients), complications included femoral neck shortening (9.3%), femoral head necrosis (7.8%), fracture nonunion (1.6%), and internal fixation failure (0.5%). In the CCS group (187 patients), complications included femoral neck shortening (7.5%), femoral head necrosis (5.3%), fracture nonunion (5.3%), and internal fixation failure (0.5%). Multivariate analysis revealed that in both the FNS and CCS groups, significant predictors of complications included premature weight-bearing, a posterior tilt angle greater than 20°, fracture displacement, and poor reduction quality.

conclusionsThe FNS is as effective as CCS in treating femoral neck fractures, making it a viable alternative. Identified risk factors for FNS failure include premature weight-bearing, posterior tilt > 20°, fracture type, and poor reduction quality.

Indexed as

Femoral Neck FracturesFracture Fixation, InternalPostoperative ComplicationsAdolescentAdultAgedCase-Control StudiesFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsYoung AdultCannulated cancellous screwsFemoral neck fractureFemoral neck systemInternal fixation failureRisk factors

Identifiers

PMID41148339

What OpenQuestion holds

Textmetadata
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.