ArticleJournal of orthopaedic case reports2026
Enhanced Stability in an Unstable Femoral Neck Fracture Using the Femoral Neck System with Two Additional Cannulated Cancellous Screws: A Case Report.
Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Introduction: Femoral neck fractures in young adults require urgent anatomical reduction and stable fixation to preserve the native femoral head and prevent complications, such as avascular necrosis and non-union. The femoral neck system (FNS) provides angular stability, but its effectiveness may be limited in vertically oriented unstable fractures. Case Report: We report a case of a 42-year-old male with a Pauwels type III femoral neck fracture managed using a hybrid construct consisting of the FNS augmented with two additional cannulated cancellous screws. The patient underwent surgery within 15 h of injury following pre-anesthetic evaluation. Anatomical reduction and stable fixation were achieved. Progressive fracture healing was observed with complete union at 3 months and an excellent functional outcome. Conclusion: Augmenting the FNS with additional cannulated cancellous screws enhances rotational stability and may improve outcomes in unstable vertical femoral neck fractures.
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