Evidence map›Paper›PMID 42464864›Full record

ArticleOrthopaedic surgery2026

Exploring the Effectiveness of "Four-Point" Configuration Cannulated Compression Screw Implantation Protocol for the Fixation of Pauwels Type III Femoral Neck Fractures in Adults.

Yujie Li, Zhenyu Wen, Zhang Jian, Naiqiang Zhuo, Shi Shen

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Article in Orthopaedic surgery, 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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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Yujie LiDepartment of Joint Surgery, People's Hospital of Leshan, Leshan, China.ORCID https://orcid.org/0009-0003-4084-1568
Zhenyu WenDepartment of Joint Surgery, People's Hospital of Leshan, Leshan, China.
Zhang JianDepartment of Joint Surgery, People's Hospital of Leshan, Leshan, China.
Naiqiang ZhuoDepartment of Orthopedics, Affiliated Hospital, Southwest Medical University, Luzhou, China.ORCID https://orcid.org/0000-0002-5988-8361
Shi ShenDepartment of Orthopedics, Affiliated Hospital, Southwest Medical University, Luzhou, China.

Funding

the Luzhou-Southwest Medical University Joint Proiect 2020LZXNYDJ06the Natural Science Foundation of Sichuan Province 2024NSFSC0677the Southwest Medical University university-level project 2019ZQN094the Special scientific research project of Sichuan Provincial Medical Science and Technology Innovation Research Association 2025YCZD95
6 · The paper itself

Abstract

backgroundPauwels type III femoral neck fractures (P3FNFs) are one of the common types of femoral neck fractures (FNF) caused by high-energy violent factors. This study aims to evaluate the efficacy of inverted cannulated cancellous screw (ICCS) assisted transversal cannulated screw (TCS) perpendicular to the fracture line in young adults with Pauwels type III femoral neck fractures.

methodsConstruct an internal fixation-fracture model through finite element analysis (FEA) and biomechanical test (BT) to simulate the stress environment of the human hip joint, and utilize the femoral neck system (FNS) model as a control to predict the biomechanical properties of ICCS + TCS. From January 2023 to December 2024, 21 patients with P3FNFs treated with ICCS + TCS were collected, and their recent radiographic and clinical outcomes were evaluated. The experimental data underwent statistical analysis using one-way ANOVA and independent samples t-test.

resultICCS + TCS exhibits biomechanical trends in FEA and BT that are essentially consistent with those of FNS. ICCS + TCS has stronger torsional stiffness and lower overall deformation, But the resistance to vertical shear force is weaker than FNS. All patients in this study successfully completed the surgery without complications such as vascular or nerve injuries. The follow-up period ranged from 8 to 25 months. The hip joint flexion-extension ROM, internal-external rotation ROM, and Harris score all significantly increased (p < 0.05). The shortening length of the femoral neck was 3.87 ± 0.44 mm.

conclusionICCS + TCS exhibits biomechanical trends compared to FNS; meanwhile, it has stronger torsional resistance and load-bearing deformations. Simultaneously, ICCS + TCS has demonstrated favorable outcomes in clinical treatments. This study offers a novel approach for the treatment of P3FNFs.

Indexed as

Bone ScrewsFemoral Neck FracturesFracture Fixation, InternalAdultBiomechanical PhenomenaFemaleFinite Element AnalysisHumansMaleProximal Femoral FracturesYoung Adultbiomechanical analysisfemoral neck fracturefemoral neck systemfinite element analysisinverted cannulated cancellous screwPauwels III

Identifiers

PMID42464864
PMCPMC13398674

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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.