Evidence map›Paper›PMID 42230376›Full record

ArticleInternational orthopaedics2026

Clinical and radiographic outcomes of cannulated cancellous screw osteosynthesis with and without side-plate for nondisplaced femoral neck fractures: a multicenter propensity score-matched study.

Kento Maeda, Hiroto Funahashi, Katsuhiro Tokutake, Hiroaki Nakashima, Kenichi Mishima, Yasuhide Kanayama, Yasuhiko Takegami, Shiro Imagama

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in International orthopaedics, 2026. 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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1citing papers in PubMed
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1 · What the graph read from it

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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.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Kento MaedaDepartment of Orthopaedics Surgery, Nagoya University, Nagoya, Japan.
Hiroto FunahashiDepartment of Orthopaedics Surgery, Nagoya University, Nagoya, Japan. jajamalu61916@gmail.com.
Katsuhiro TokutakeDepartment of Orthopaedics Surgery, Nagoya University, Nagoya, Japan.
Hiroaki NakashimaDepartment of Orthopaedics Surgery, Nagoya University, Nagoya, Japan.
Kenichi MishimaDepartment of Orthopaedics Surgery, Nagoya University, Nagoya, Japan.
Yasuhide KanayamaDepartment of Orthopaedics Surgery, Toyota Kosei Hospital, Toyota, Japan.
Yasuhiko TakegamiDepartment of Orthopaedics Surgery, Nagoya University, Nagoya, Japan.
Shiro ImagamaDepartment of Orthopaedics Surgery, Nagoya University, Nagoya, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to evaluate postoperative outcomes, including clinical results, radiological assessments, and complications, in patients over 50 years old with nondisplaced femoral neck fractures (Garden classification I-II) treated with cannulated cancellous screw (CCS) fixation with or without a side-plate.

methodsThis multicenter retrospective study analyzed 620 patients aged ≥ 50 years with nondisplaced femoral neck fractures who underwent osteosynthesis between 2018 and 2020 across 12 affiliated hospitals. After propensity score matching, 41 patients were included in each group. All patients were followed for at least one year postoperatively. Patients were categorized into a CCS group (Group C) and a CCS with side-plate group (Group P). Walking ability, radiological evaluations, operative time, and complications were assessed.

resultsAt six months postoperatively, femoral neck shortening did not differ significantly between Group C and Group P (C: 4.20 ± 5.37 vs P: 3.63 ± 3.29 mm, p = 0.701). At one year postoperatively, femoral neck shortening was significantly greater in Group C than in Group P (C: 5.58 ± 4.38 vs P: 2.99 ± 3.64 mm, p = 0.009). Walking ability at final follow-up did not differ between groups (p = 0.142). Operative time was longer in Group P (C: 33.85 ± 15.56 vs P: 56.37 ± 21.63 min, p < 0.001). Postoperative complications were comparable between groups.

conclusionsPlate augmentation reduced femoral neck shortening but increased operative time, without significant differences in complications or walking ability. CCS fixation without a side-plate may be sufficient for selected patients with nondisplaced femoral neck fractures.

Indexed as

Bone PlatesBone ScrewsFemoral Neck FracturesFracture Fixation, InternalAgedFemaleHumansMaleMiddle AgedPostoperative ComplicationsPropensity ScoreRadiographyRetrospective StudiesTreatment OutcomeCannulated cancellous screwFemoral neck fractureFemoral neck shorteningPropensity score matchingSide-plate augmentation

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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.