Evidence map›Paper›PMID 41469644›Full record

Trial reportBMC musculoskeletal disorders2025

Clinical efficacy of personalized 3D-printed modular navigation templates in assisting Femoral Neck System implantation for femoral neck fractures in young and middle-aged adults.

Xiaolei Sheng, Jiayu Qian, Yi Zhu, Weiping Sha, Shoujin Tian, Yunzhong Huang, Jianfei Ge

Abstract readRandomized Controlled Trial
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. 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. 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

7 authors.

Xiaolei ShengDepartment of Orthopaedic Surgery, Zhangjiagang Hospital Affiliated to Soochow University, Zhangjiagang First People's Hospital, No.68 Jiyang West Road, Zhangjiagang, Jiangsu, 215600, China.
Jiayu QianEmergency Intensive Care Unit, Zhangjiagang Hospital Affiliated to Soochow University, Zhangjiagang First People's Hospital, No.68 Jiyang West Road, Zhangjiagang, Jiangsu, 215600, China.
Yi ZhuDepartment of Orthopaedic Surgery, Zhangjiagang Hospital Affiliated to Soochow University, Zhangjiagang First People's Hospital, No.68 Jiyang West Road, Zhangjiagang, Jiangsu, 215600, China.
Weiping ShaDepartment of Orthopaedic Surgery, Zhangjiagang Hospital Affiliated to Soochow University, Zhangjiagang First People's Hospital, No.68 Jiyang West Road, Zhangjiagang, Jiangsu, 215600, China.
Shoujin TianDepartment of Orthopaedic Surgery, Zhangjiagang Hospital Affiliated to Soochow University, Zhangjiagang First People's Hospital, No.68 Jiyang West Road, Zhangjiagang, Jiangsu, 215600, China.
Yunzhong HuangDepartment of Orthopaedic Surgery, Zhangjiagang Hospital Affiliated to Soochow University, Zhangjiagang First People's Hospital, No.68 Jiyang West Road, Zhangjiagang, Jiangsu, 215600, China. Winner_yunzhong@126.com.
Jianfei GeDepartment of Orthopaedic Surgery, Zhangjiagang Hospital Affiliated to Soochow University, Zhangjiagang First People's Hospital, No.68 Jiyang West Road, Zhangjiagang, Jiangsu, 215600, China. gejianfei0271@sina.com.

Funding

Suzhou Key Clinical Disease Diagnosis and Treatment Technology Special Project LCZX202330Suzhou Medical and Health Science and Technology Innovation Project SKYD20022048
6 · The paper itself

Abstract

objectiveThis study investigated the clinical efficacy of personalized 3D-printed modular navigation templates for Femoral Neck System (FNS) implantation in young and middle-aged adults with femoral neck fractures. We evaluated its impact on surgical precision, safety, and radiation exposure.

methodsWe prospectively enrolled 88 patients with femoral neck fractures, randomly assigning them to either the 3D-FNS group (n = 43), which used personalized 3D-printed navigation templates for FNS guide wire insertion, or the Conventional Freehand FNS group (n = 45). We compared baseline characteristics, operative parameters (time, fluoroscopy, blood loss, guide pin adjustments, incision length), and postoperative outcomes (fracture healing time, Harris Hip Scores (HHS) at 6 months and final follow-up, and complication rates).

resultsThe 3D-FNS group showed significantly reduced operative time, intraoperative fluoroscopy count, intraoperative blood loss, and fewer guide pin adjustments compared to the FNS group (P < 0.05). While incision length was slightly longer in the 3D-FNS group, this was not significant (P > 0.05). The 3D-FNS group also had a significantly shorter fracture healing time and higher 6-month HHS (P < 0.05). Although final follow-up HHS was higher in the 3D-FNS group, the difference was not significant (P > 0.05). Complication rates (femoral neck shortening, femoral head necrosis, nonunion, internal fixation failure) were lower in the 3D-FNS group, but without statistical significance (P > 0.05).

conclusionPersonalized 3D-printed modular navigation templates significantly improve the accuracy and safety of FNS implantation, reducing operative time, fracture healing duration, and intraoperative radiation exposure. This offers an innovative and valuable solution for minimally invasive, hip-preserving treatment of femoral neck fractures in young and middle-aged adults.

Indexed as

Femoral Neck FracturesFracture Fixation, InternalPrinting, Three-DimensionalSurgery, Computer-AssistedAdultFemaleHumansMaleMiddle AgedOperative TimeProspective StudiesProximal Femoral FracturesTreatment OutcomeYoung Adult3D-Printed guideFemoral neck fracturesFemoral Neck SystemMinimally invasive surgeryPrecision medicineRadiation protection

Identifiers

PMID41469644
PMCPMC12859925

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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.