SynthesisEuropean journal of medical research2025
Effect of different types of internal fixation on the incidence of femoral head necrosis in adult femoral neck fractures: a single-arm rate and network meta-analysis.
Synthesis in European journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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
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Who cites it
1 citing paper in PubMed.
- Bilateral subcapital femoral fractures associated with transient osteoporosis of the hip in pregnancy: a case report.Trauma case reports · 2026Article
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Authors and funding
7 authors.
Funding
Abstract
backgroundOsteonecrosis of the femoral head (ONFH) remains a devastating complication following internal fixation of femoral neck fractures (FNFs). Despite advancements in fixation techniques, the comparative efficacy among methods for mitigating this risk remains unclear.
objectiveTo compare the impact of various internal fixation methods on the incidence of femoral head necrosis in adult femoral neck fractures based on single-arm rate and network meta-analysis (NMA). PATIENTS AND
methodsPubMed, Embase, and Cochrane Library were searched (inception-September 2024). Eligible studies reported ONFH rates in adults treated with cannulated screws (CCS), dynamic hip screws (DHS), or femoral neck system (FNS). Single-arm rates were pooled via random-effects models; Bayesian NMA ranked interventions.
results52 studies (5649 patients) were included. Pooled ONFH rates were CCS 15% (95% CI: 0.13-0.18; I
conclusionsBased on available evidence, FNS is associated with the lowest incidence of ONFH. These findings, derived predominantly from observational data, are hypothesis-generating and warrant confirmation by high-quality randomized controlled trials.
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