Cannulated screws (CS) and femoral neck system (FNS) are well-accepted methods for femoral neck fracture treatment however, both methods are associated with complications. Femoral neck fracture treatment in young adults remains controversial. Femoral neck fracture in young adults accounts for 2.0-3.0% of all femoral neck fractures, and are mostly caused by high-energy injuries. Clinicians should consider FNS as a first choice in treating femoral neck fracture in young adults, except where this approach is contraindicated.įemoral neck fracture is a common fracture in orthopedic trauma, accounting for approximately 3.6% of human fractures and 54.0% of hip fractures. Conclusion: FNS fixation outperforms CS fixation in terms of intraoperative fluoroscopies, Harris Hip Score, and morbidity in young patients with femoral neck fractures. Compared with CS fixation, FNS fixation required fewer intraoperative fluoroscopies and had better Harris Hip Score, earlier weight-bearing, lower number of total complications, lesser femoral neck shortening, and lesser extent of nail retreat. The pooled results revealed that the two fixation methods were similar in terms of the operation time, length of hospital stay, healing time, intraoperative blood loss, non-union, femoral head necrosis, and internal fixation cut-out. Results: This meta-analysis included eight studies. The outcomes were surgical and prognostic results and complications. Methods: We searched the following sources for studies that compared CS and FNS fixation: Cochrane library, Embase, PubMed, Web of Science, Wanfang data, China National Knowledge Infrastructure, China Biology Medicine disc, and Chinese Science and Technology Journals. This meta-analysis aimed to evaluate the relative safety and effectiveness of CS and FNS for treating young patients with femoral neck fractures. Cannulated screws (CS) and femoral neck system (FNS) are well-accepted methods for femoral neck fracture treatment however, these methods are associated with complications. Purpose: Femoral neck fracture treatment in young adults remains controversial.
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