{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T00:33:33Z","timestamp":1792802013000,"version":"4.5.0"},"reference-count":23,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"8","license":[{"start":{"date-parts":[[2014,8,1]],"date-time":"2014-08-01T00:00:00Z","timestamp":1406851200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:p>There is a high risk of the development of avascular necrosis of the femoral head and nonunion after the treatment of displaced subcapital fractures of the femoral neck in patients aged &lt; 50 years. We retrospectively analysed the results following fixation with two cannulated compression screws and a vascularised iliac bone graft. We treated 18\u00a0women and 16 men with a mean age of 38.5 years (20 to 50) whose treatment included the use of an iliac bone graft based on the ascending branch of lateral femoral circumflex artery. There were 20 Garden grade III and 14 grade IV fractures. Clinical and radiological outcomes were evaluated. The mean follow-up was 5.4 years (2 to 10). In 30 hips (88%) union was achieved at a mean of 4.4 months (4 to 6). Nonunion occurred in four hips (12%) and these patients had a mean age of 46.5 years (42 to 50) and underwent revision to a hip replacement six months after operation. The time to union was dependent on age with younger patients achieving earlier union (p &lt; 0.001). According to the Harris hip score which was available for 27 of the 30 hips with satisfactory union, excellent results were obtained in 15 (score \u2265 90 points), fair in ten (score 80 to 90 points), and poor in two hips (\u2264 80 points). One patient aged 48 years developed avascular necrosis of femoral head six years after operation and underwent total hip replacement.<\/jats:p><jats:p>The management of displaced subcapital fractures of the femoral neck, in patients aged &lt; \u00a050 years, with two cannulated compression screws and an iliac bone graft based on the ascending branch of lateral femoral circumflex artery, gives satisfactory results with a low rate of complication including avascular necrosis and nonunion.<\/jats:p><jats:p>Cite this article: Bone Joint J 2014;96-B:1024\u20138.<\/jats:p>","DOI":"10.1302\/0301-620x.96b8.33002","type":"journal-article","created":{"date-parts":[[2014,8,1]],"date-time":"2014-08-01T09:54:01Z","timestamp":1406886841000},"page":"1024-1028","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":11,"title":["A retrospective analysis of the use of cannulated compression screws and a vascularised iliac bone graft in the treatment of displaced fracture of the femoral neck in patients aged &lt; 50 years"],"prefix":"10.1302","volume":"96-B","author":[{"given":"Z.","family":"Dewei","sequence":"first","affiliation":[{"name":"Zhongshan Hospital of Dalian University, Department of Orthopaedics, No. 6 Jiefang Street, Dalian, Liaoning province 116001, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Xiaobing","sequence":"additional","affiliation":[{"name":"Zhongshan Hospital of Dalian University, Department of Orthopaedics, No. 6 Jiefang Street, Dalian, Liaoning province 116001, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"r1","doi-asserted-by":"publisher","DOI":"10.5301\/HIP.2012.9247"},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.1177\/1534734612438056"},{"key":"r3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3928\/01477447-20111122-38","volume":"35","author":"Lin D","year":"2012","journal-title":"Orthopedics"},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197658050-00020"},{"key":"r5","first-page":"238","volume":"312","author":"Robinson CM","year":"1995","journal-title":"Clin Orthop Relat Res"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466060-00003"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200402000-00010"},{"key":"r8","doi-asserted-by":"publisher","DOI":"10.1007\/s002640100288"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-011-1344-1"},{"key":"r10","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200208000-00004"},{"key":"r11","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000181490.31424.96"},{"key":"r12","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.94B9.29494"},{"key":"r13","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.94B8.29155"},{"key":"r14","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01134"},{"key":"r15","doi-asserted-by":"publisher","DOI":"10.1177\/230949901202000211"},{"key":"r16","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2012.10.009"},{"key":"r17","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22179"},{"key":"r18","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199004030-00009"},{"key":"r19","doi-asserted-by":"crossref","unstructured":"Nair N, Patro DK, Babu TA. Role of muscle pedicle bone graft as an adjunct to open reduction and internal fixation in the management of neglected and ununited femoral neck fracture in young adults: a prospective study of 17 cases. Eur J Orthop Surg Traumatol 2013 (Epub).","DOI":"10.1007\/s00590-013-1384-x"},{"key":"r20","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.80B5.0800798"},{"key":"r21","doi-asserted-by":"crossref","first-page":"3845","DOI":"10.3760\/cma.j.issn.0366-6999.20131383","volume":"126","author":"Liu BY","year":"2013","journal-title":"Chin Med J (Engl)"},{"key":"r22","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000203483.13583.c8"},{"key":"r23","unstructured":"Lu QH, Yu FP. [Therapeutic effects of cannulated compression screws for treating femoral neck fractures]. Zhongguo Gu Shang 2012;25:1040\u20131044.[Article in Chinese]."}],"container-title":["The Bone &amp; Joint Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.96B8.33002","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.96B8.33002","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.96B8.33002","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T19:41:19Z","timestamp":1717184479000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.96B8.33002"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,8]]},"references-count":23,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2014,8]]}},"alternative-id":["10.1302\/0301-620X.96B8.33002"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.96b8.33002","relation":{},"ISSN":["2049-4394","2049-4408"],"issn-type":[{"value":"2049-4394","type":"print"},{"value":"2049-4408","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,8]]},"assertion":[{"value":"2013-11-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-04-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-08-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}