{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T00:00:59Z","timestamp":1756166459724,"version":"3.44.0"},"reference-count":29,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T00:00:00Z","timestamp":1756080000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore the clinical efficacy of internal fixation of locking compression plate and Cannulated Screw in treatment of elderly femoral neck fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>175 patients with femoral neck fractures admitted to our hospital from January 2022 to December 2022 were enrolled in the study. 93 cases in the control group were treated with Cannulated Screw internal fixation, and 82 cases in the observation group were treated with locking plate internal fixation. The control group was treated with cannulated screw internal fixation, while the observation group was treated with locking compression plate internal fixation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared with the control group, the observation group had a significantly shorter time for partial weight-bearing exercise, with a statistically significant difference (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.05), and a significantly lower incidence of postoperative complications, with a statistically significant difference (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.05). The ROM of hip extension-flexion at 1 month and 6 months after operation and the ROM of hip internal rotation-external rotation at 1 month after operation in the observation group were significantly higher than those in the control group, and the differences were statistically significant (<jats:italic>P<\/jats:italic>\u2009&amp;lt;\u20090.01). The VAS score of the observation group was significantly lower than that of the control group at 1 month after operation, and the difference was statistically significant (<jats:italic>P<\/jats:italic>\u2009&amp;lt;\u20090.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Both locking compression plate internal fixation and cannulated screw internal fixation are effective in the treatment of elderly femoral neck fractures. Compared with cannulated screw internal fixation, locking compression plate internal fixation helps patients to engage in early functional exercise and has a lower incidence of postoperative complications.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2025.1600331","type":"journal-article","created":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T05:26:08Z","timestamp":1756099568000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical efficacy comparison of internal fixation of locking compression plate and cannulated screw in treatment of elderly femoral neck fractures\u2014a retrospective study"],"prefix":"10.3389","volume":"12","author":[{"given":"Fei","family":"Sun","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Sun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhi","family":"Tang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enxu","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhaoyong","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shaofeng","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,8,25]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1042","DOI":"10.12200\/j.issn.1003-0034.2022.11.007","article-title":"Finite element analysis of optimal selection of cannulated threaded screw for the prevention of femoral neck shortening after internal fixation for femoral neck fracture","volume":"35","author":"Chen","year":"2022","journal-title":"Zhongguo Gu Shang"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1105717","DOI":"10.3389\/fped.2022.1105717","article-title":"Robot-assisted cannulated compression screw internal fixation for treatment of femoral neck fracture in children: a case series of ten patients","volume":"10","author":"Feng","year":"2022","journal-title":"Front Pediatr"},{"key":"B3","doi-asserted-by":"publisher","first-page":"938595","DOI":"10.3389\/fsurg.2022.938595","article-title":"Treatment of postoperative non-union with internal fixation loosening of garden IV femoral neck fracture with teriparatide in a young adult: a case report","volume":"9","author":"Lai","year":"2022","journal-title":"Front Surg"},{"key":"B4","doi-asserted-by":"publisher","first-page":"305","DOI":"10.5604\/01.3001.0016.1315","article-title":"Early results of internal fixation with femoral neck system in young patients with femoral neck fracture","volume":"24","author":"Mehraj","year":"2022","journal-title":"Ortop Traumatol Rehabil"},{"key":"B5","doi-asserted-by":"publisher","first-page":"86","DOI":"10.13107\/jocr.2022.v12.i12.3476","article-title":"Case ReportSubtrochanteric fracture after internal fixation of femoral neck fracture using the hansson pinloc system: a case report","volume":"12","author":"Yamada","year":"2022","journal-title":"J Orthop Case Rep"},{"key":"B6","doi-asserted-by":"publisher","first-page":"1546","DOI":"10.1002\/jor.25503","article-title":"Optimal position and apex-subchondral bone distance of cannulated screws for internal fixation of femoral neck fracture: a radiological study","volume":"41","author":"Zhu","year":"2023","journal-title":"J Orthop Res"},{"key":"B7","doi-asserted-by":"publisher","first-page":"44","DOI":"10.13107\/jocr.2020.v10.i07.1912","article-title":"Osteosynthesis in neglected femoral neck fracture in an adolescent by internal fixation alone\u2014a case report","volume":"10","author":"Ahmed","year":"2020","journal-title":"J Orthop Case Rep"},{"key":"B8","doi-asserted-by":"publisher","first-page":"1551","DOI":"10.2147\/IJGM.S289265","article-title":"Subtrochanteric femoral fracture in a patient with osteopetrosis: treated with internal fixation and complicated by intraoperative femoral neck fracture","volume":"13","author":"Hua","year":"2020","journal-title":"Int J Gen Med"},{"key":"B9","doi-asserted-by":"publisher","first-page":"S27","DOI":"10.1097\/BOT.0000000000001818","article-title":"Open reduction internal fixation of femoral neck fracture-anterior approach","volume":"34","author":"Keshet","year":"2020","journal-title":"J Orthop Trauma"},{"key":"B10","doi-asserted-by":"publisher","first-page":"750","DOI":"10.12200\/j.issn.1003-0034.2020.08.013","article-title":"Analysis of related factors and evaluation of quality of life of osteonecrosis of femoral head after internal fixation of femoral neck fracture","volume":"33","author":"Liu","year":"2020","journal-title":"Zhongguo Gu Shang"},{"key":"B11","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1186\/s40814-020-00642-w","article-title":"A cohort study comparing internal fixation for undisplaced versus hip arthroplasty for displaced femoral neck fracture in the elderly: a pilot study for a clinical trial","volume":"6","author":"Mukka","year":"2020","journal-title":"Pilot Feasibility Stud"},{"key":"B12","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1080\/17453674.2020.1850940","article-title":"Mortality and revision risk after femoral neck fracture: comparison of internal fixation for undisplaced fracture with arthroplasty for displaced fracture: a population-based study from Danish National Registries","volume":"92","author":"Viberg","year":"2021","journal-title":"Acta Orthop"},{"key":"B13","doi-asserted-by":"publisher","first-page":"e038442","DOI":"10.1136\/bmjopen-2020-038442","article-title":"Is arthroplaSty bEtter than interNal fixation for undiSplaced femoral nEck fracture? A national pragmatic RCT: the SENSE trial","volume":"10","author":"Viberg","year":"2020","journal-title":"BMJ Open"},{"key":"B14","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1186\/s13018-019-1148-3","article-title":"Correction to: comparison of three different internal fixation implants in treatment of femoral neck fracture-a finite element analysis","volume":"14","author":"Li","year":"2019","journal-title":"J Orthop Surg Res"},{"key":"B15","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1186\/s13018-019-1097-x","article-title":"Comparison of three different internal fixation implants in treatment of femoral neck fracture-a finite element analysis","volume":"14","author":"Li","year":"2019","journal-title":"J Orthop Surg Res"},{"key":"B16","doi-asserted-by":"publisher","first-page":"448","DOI":"10.1016\/j.gendis.2019.04.006","article-title":"Biomechanical analysis of the computer-assisted internal fixation of a femoral neck fracture","volume":"7","author":"Lu","year":"2020","journal-title":"Genes Dis"},{"key":"B17","doi-asserted-by":"publisher","first-page":"320","DOI":"10.1186\/s13018-019-1377-5","article-title":"Outcomes of internal fixation versus hemiarthroplasty for elderly patients with an undisplaced femoral neck fracture: a systematic review and meta-analysis","volume":"14","author":"Ma","year":"2019","journal-title":"J Orthop Surg Res"},{"key":"B18","doi-asserted-by":"publisher","first-page":"537","DOI":"10.1080\/17453674.2019.1637469","article-title":"Posterior and anterior tilt increases the risk of failure after internal fixation of garden I and II femoral neck fracture","volume":"90","author":"Sjoholm","year":"2019","journal-title":"Acta Orthop"},{"key":"B19","doi-asserted-by":"publisher","first-page":"108658","DOI":"10.1016\/j.biopha.2019.108658","article-title":"Finite element analysis of different internal fixation methods for the treatment of pauwels type III femoral neck fracture","volume":"112","author":"Tianye","year":"2019","journal-title":"Biomed Pharmacother"},{"key":"B20","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1111\/os.12451","article-title":"Guidance for the treatment of femoral neck fracture with precise minimally invasive internal fixation based on the orthopaedic surgery robot positioning system","volume":"11","author":"Wu","year":"2019","journal-title":"Orthop Surg"},{"key":"B21","doi-asserted-by":"publisher","first-page":"632","DOI":"10.1186\/s12891-019-2990-5","article-title":"Risk factors associated with osteonecrosis of femoral head after internal fixation of femoral neck fracture:a systematic review and meta-analysis","volume":"20","author":"Xu","year":"2019","journal-title":"BMC Musculoskelet Disord"},{"key":"B22","doi-asserted-by":"publisher","first-page":"215","DOI":"10.12200\/j.issn.1003-0034.2021.03.005","article-title":"Relationship and risk factors of osteonecrosis of femoral head after internal fixation of femoral neck fracture with serum bone metabolism and vasoactive factors","volume":"34","author":"Dou","year":"2021","journal-title":"Zhongguo Gu Shang"},{"key":"B23","doi-asserted-by":"publisher","first-page":"e20.01009","DOI":"10.2106\/JBJS.CC.20.01009","article-title":"Gunshot fracture of the femoral neck: internal fixation and immediate proximal femoral Valgus osteotomy: a case report","volume":"11","author":"Georgiadis","year":"2021","journal-title":"JBJS Case Connect"},{"key":"B24","doi-asserted-by":"publisher","first-page":"200","DOI":"10.12200\/j.issn.1003-0034.2021.03.002","article-title":"Attention should be paid to the internal fixation of femoral neck fracture","volume":"34","author":"Liu","year":"2021","journal-title":"Zhongguo Gu Shang"},{"key":"B25","doi-asserted-by":"publisher","first-page":"3490881","DOI":"10.1155\/2021\/3490881","article-title":"The effect on the fracture healing following femoral neck shortening after osteoporotic femoral neck fracture treated with internal fixation: finite element analysis","volume":"2021","author":"Yu","year":"2021","journal-title":"Biomed Res Int"},{"key":"B26","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1186\/s40001-021-00531-9","article-title":"Analysis on risk factors for neck shortening after internal fixation for Pauwels II femoral neck fracture in young patients","volume":"26","author":"Zhao","year":"2021","journal-title":"Eur J Med Res"},{"key":"B27","doi-asserted-by":"publisher","first-page":"450","DOI":"10.1186\/s13018-021-02580-6","article-title":"Clinical observation and finite element analysis of cannulated screw internal fixation in the treatment of femoral neck fracture based on different reduction quality","volume":"16","author":"Zhao","year":"2021","journal-title":"J Orthop Surg Res"},{"key":"B28","doi-asserted-by":"publisher","first-page":"195","DOI":"10.12200\/j.issn.1003-0034.2021.03.001","article-title":"Focus on the evaluation and some questions of internal fixation for femoral neck fracture","volume":"34","author":"Zhao","year":"2021","journal-title":"Zhongguo Gu Shang"},{"key":"B29","doi-asserted-by":"publisher","first-page":"1534","DOI":"10.1302\/0301-620X.103B.BJJ-2021-0105.R1","article-title":"Combination of CRP with NLR is a sensitive tool for screening fixation-related infection in patients undergoing conversion total hip arthroplasty after failed internal fixation for femoral neck fracture","author":"Xu","year":"2021","journal-title":"Bone Joint J"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1600331\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T05:26:12Z","timestamp":1756099572000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1600331\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,25]]},"references-count":29,"alternative-id":["10.3389\/fsurg.2025.1600331"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2025.1600331","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,25]]},"article-number":"1600331"}}