{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T12:06:32Z","timestamp":1781784392968,"version":"3.54.5"},"reference-count":39,"publisher":"SAGE Publications","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMR"],"published-print":{"date-parts":[[2021,3,22]]},"abstract":"<jats:p>BACKGROUND: Femoral neck fractures often occur in the elderly, which usually results in hip pain. OBJECTIVE: The purpose of this study was to evaluate the difference in the treatment of Pauwels type III femoral neck fractures with medial femoral support plate combined with cannulated screws and cannulated screws alone. METHODS: PubMed, ScienceDirect, China Academic Journals Full-text Database (CNKI), Wanfang Database, Chinese Biomedical Literature Database (CBM), Embase and Cochrane Library were used to collect clinical controlled trials of the medial femoral support plate combined with hollow screw internal fixation and simple hollow screw internal fixation for Pauwels type III femoral neck fracture. RESULTS: Seven articles (n= 409 cases) were evaluated for quality and included in this meta-analysis. Four hundred and nine patients with Pauwels type III femoral neck fractures were included: 202 in the experimental group and 207 in the control group. The results showed that, compared with simple hollow screw internal fixation, the medial femoral support plate combined with hollow screw internal fixation has a longer operation time (MD= 23.05, 95% CI= 13.86\u201332.24), and more intraoperative blood loss (MD= 91.55, 95% CI= 50.72\u2013132.39), shorter healing time (MD=-1.48, 95% CI (-1.71, -1.26)), lower incidence of complications (RR= 0.34, 95% CI= 0.19\u20130.61), lower VAS score (MD=-1.28, 95% CI (-1.83, -0.72)), and higher Harris score (MD= 8.49, 95% CI (4.15, 12.83)). CONCLUSION: Medial femoral plate combined with cannulated screw for Pauwels type III femoral neck fracture can shorten healing time, reduce postoperative complications, and improve the postoperative Harris score.<\/jats:p>","DOI":"10.3233\/bmr-200183","type":"journal-article","created":{"date-parts":[[2020,11,6]],"date-time":"2020-11-06T11:44:11Z","timestamp":1604663051000},"page":"169-177","source":"Crossref","is-referenced-by-count":28,"title":["Medial femoral plate with cannulated screw for Pauwels type III femoral neck fracture: A meta-analysis"],"prefix":"10.1177","volume":"34","author":[{"given":"Zhengbing","family":"Su","sequence":"first","affiliation":[{"name":"Department of Orthopedics, The Second Affiliated Hospital of Army Medical University, Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linlin","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Clinical Laboratory, The Second People\u2019 s Hospital in Jiulongpo District Chongqing, Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong","family":"Hao","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, The Second Affiliated Hospital of Army Medical University, Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","reference":[{"issue":"2","key":"10.3233\/BMR-200183_ref1","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1016\/j.injury.2019.12.003","article-title":"Implant positioning (IMPO) in undisplaced femoral neck fractures: association to reoperation and development of an IMPO scoring system","volume":"51","author":"Koldaas","year":"2020","journal-title":"Injury"},{"key":"10.3233\/BMR-200183_ref2","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1186\/s40814-019-0458-x","article-title":"Fixation using alternative implants for the treatment of hip fractures (FAITH-2): design and rationale for a pilot multi-centre 2 \u00d7 2 factorial randomized controlled trial in young femoral neck fracture patients","volume":"5","author":"Slobogean","year":"2019","journal-title":"Pilot and Feasibility Stud"},{"issue":"24","key":"10.3233\/BMR-200183_ref3","doi-asserted-by":"crossref","first-page":"e16023","DOI":"10.1097\/MD.0000000000016023","article-title":"Urinary retention as a postoperative complication associated with functional decline in elderly female patients with femoral neck and trochanteric fractures: a retrospective study of a patient cohort","volume":"98","author":"Higashikawa","year":"2019","journal-title":"Medicine"},{"issue":"1","key":"10.3233\/BMR-200183_ref4","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1177\/2151458516683226","article-title":"Palliative management of nonoperative femoral neck fractures with continuous peripheral pain catheters: 20 patient case series","volume":"8","author":"Rashidifard","year":"2017","journal-title":"Geriatr Orthop Surg Rehabil"},{"issue":"3","key":"10.3233\/BMR-200183_ref5","doi-asserted-by":"crossref","first-page":"164","DOI":"10.5371\/hp.2015.27.3.164","article-title":"Surgical treatment of undisplaced femur neck fractures in dementia patients using proximal femoral nail antirotation","volume":"27","author":"Park","year":"2015","journal-title":"Hip pelvis"},{"key":"10.3233\/BMR-200183_ref6","first-page":"421","article-title":"Bilateral femoral neck fractures in a middle-aged female after a low-energy fall","volume":"34","author":"Siddiqi","year":"2019","journal-title":"Surg Technol Int"},{"issue":"7","key":"10.3233\/BMR-200183_ref7","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1007\/s00590-010-0747-9","article-title":"Biplane double-supported screw fixation (F-technique): a method of screw fixation at osteoporotic fractures of the femoral neck","volume":"21","author":"Filipov","year":"2011","journal-title":"Eur J Orthop Surg Traumatol"},{"issue":"1","key":"10.3233\/BMR-200183_ref8","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.cjtee.2018.12.003","article-title":"Valgus osteotomy in delayed presentation of femoral neck fractures using fixed angle simple dynamic hip screw and plate","volume":"22","author":"Nayak","year":"2019","journal-title":"Chin J Traumatol"},{"key":"10.3233\/BMR-200183_ref9","doi-asserted-by":"crossref","first-page":"S33","DOI":"10.1097\/BOT.0000000000001368","article-title":"Novel treatment options for the surgical management of young femoral neck fractures","volume":"33","author":"Levack","year":"2019","journal-title":"J Orthop Trauma"},{"issue":"2","key":"10.3233\/BMR-200183_ref10","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1016\/j.injury.2018.10.038","article-title":"Is bone-cement augmentation of screw-anchor fixation systems superior in unstable femoral neck fractures? 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