Evidence map›Paper›PMID 42383696›Full record

ReviewEFORT open reviews2026

Arthroplasty for femoral neck fracture of the elderly: a narrative review.

Gautier Beckers, Maximilian Lerchenberger, Wolfgang Böcker, Boris Michael Holzapfel, Jörg Arnholdt, Dominic Simon

Abstract readReview
In one paragraph

Review in EFORT open reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Maximilian Lerchenberger
Wolfgang Böcker
Boris Michael Holzapfel
Jörg Arnholdt
Dominic Simon

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This review provides an up-to-date, focused, and evidence-based treatment strategy addressing the ongoing debates in the literature surrounding arthroplasty for displaced femoral neck fractures in the elderly. Every effort should be made to perform surgery within 24-36 h of admission. After-hours surgery may be performed safely when an experienced team and adequate resources are available; if not, postponing to daytime hours to optimize surgical conditions is reasonable. While pre-fracture mobility, independence, and comorbidity are relevant in treatment planning, current high-level evidence does not support a consistent clinical benefit of total hip arthroplasty over hemiarthroplasty, even in selected, higher-functioning patients. Given the substantially increased risk of periprosthetic fracture associated with cementless fixation, cemented stems should be preferred in elderly patients with displaced femoral neck fractures.

Indexed as

displaced femoral neck fractureelderlyhip hemiarthroplastytotal hip arthroplasty

Identifiers

PMID42383696
PMCPMC13326720

What OpenQuestion holds

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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.