{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T00:42:15Z","timestamp":1784335335349,"version":"3.55.0"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2021,4,26]],"date-time":"2021-04-26T00:00:00Z","timestamp":1619395200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,4,26]],"date-time":"2021-04-26T00:00:00Z","timestamp":1619395200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Trauma Emerg Surg"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>In this study, we aimed to determine the correlation between the preoperative posterior tilt of the femoral head and treatment failure in patients with a Garden type I and II femoral neck fracture (FNF) treated with the dynamic locking blade plate (DLBP).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Preoperative posterior tilt was measured in a prospective documented cohort of 193 patients with a Garden type I and II FNF treated with the DLBP. The correlation between preoperative posterior tilt and failure, defined as revision surgery because of avascular necrosis, non-union, or cut-out, was analyzed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Patients with failed fracture treatment (5.5%) had a higher degree of posterior tilt on the initial radiograph than the patients with uneventful healed fractures: 21.4\u00b0 and 13.8\u00b0, respectively (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.03). The failure rate was 3.2% for Garden type I and II FNF with a posterior tilt &lt;\u00a020\u00b0 and 12.5% if the preoperative posterior tilt was \u2265\u00a020\u00b0. A posterior tilt of \u2265\u00a020\u00b0 was associated with an odds ratio of 4.24 (95% CI 1.09\u201316.83; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.04).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Garden type I and II FNFs with a significant preoperative posterior tilt (\u2265\u00a020\u00b0) seem to behave like unstable fractures and have a four times higher risk of failure. Preoperative posterior tilt \u2265\u00a020\u00b0 of the femoral head should be considered as a significant predictor for failure of treatment in Garden type I and II FNFs treated with the DLBP.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00068-021-01673-5","type":"journal-article","created":{"date-parts":[[2021,4,26]],"date-time":"2021-04-26T22:03:49Z","timestamp":1619474629000},"page":"1343-1350","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["More than 20\u00b0 posterior tilt of the femoral head in undisplaced femoral neck fractures results in a four times higher risk of treatment failure"],"prefix":"10.1007","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1125-0027","authenticated-orcid":false,"given":"Jorn","family":"Kalsbeek","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4217-125X","authenticated-orcid":false,"given":"Ariaan","family":"van Walsum","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3283-116X","authenticated-orcid":false,"given":"Herbert","family":"Roerdink","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9952-3079","authenticated-orcid":false,"given":"Inger","family":"Schipper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,4,26]]},"reference":[{"key":"1673_CR1","doi-asserted-by":"publisher","first-page":"503","DOI":"10.1007\/s00402-005-0022-4","volume":"125","author":"M Zlowodzki","year":"2005","unstructured":"Zlowodzki M, Bhandari M, Keel M, et al. 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J.H. Kalsbeek, W.H. Roerdink and I.B. Schipper have no conflicts of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The measurements and analysis corresponded with those in earlier studies within a research program that has been assessed by the Medical Research Ethics Committee (MREC). The MREC concluded that the studies do not meet the criteria to be evaluated by a MREC and can consequently be performed without official MREC approval.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}