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They were followed for an average of 28 months (range, 24\u201337 months). The postoperative diagnosis was confirmed by typical radiographs and single photon-emission computed tomography. Quality of life among patients was assessed using the Short Form-36 (SF-36) questionnaire. The overall incidences of depression and AVN were 30.6% (196 of 641) and 20.9% (134 of 641), respectively. Ninety-four (48.0%) patients in the depressed group and 40 (9.0%) patients in the nondepressed group ultimately developed AVN. Symptoms of depression significantly affected AVN. In addition, depression predicted patients\u2019 quality of life, as did sex, partner status, employment status, living alone, frequency of exercise, severity of fractures, and length of hospital stay. In a multiple linear regression model analyzing all of these variables, depression was the best independent predictor of quality of life. Depression in patients younger than 60 years with femoral neck fractures may increase postoperative femoral head AVN risk and greatly affect patients\u2019 quality of life.<\/jats:p>","DOI":"10.3928\/01477447-20140225-56","type":"journal-article","created":{"date-parts":[[2014,8,19]],"date-time":"2014-08-19T20:35:44Z","timestamp":1408480544000},"source":"Crossref","is-referenced-by-count":12,"title":["Effect of Depression on Femoral Head Avascular Necrosis From Femoral Neck Fracture in Patients Younger Than 60 Years"],"prefix":"10.3928","volume":"37","author":[{"given":"Dong","family":"He","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuan","family":"Xue","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ZhiYang","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"YanMing","family":"Tang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"HuaiRong","family":"Ding","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhong","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chao","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"HuiFang","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"YaQi","family":"Zong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.80B2.7762"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rdc.2006.08.003"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20110124-09"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.E.00535"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(02)00002-5"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2005.12.008"},{"issue":"4","key":"e_1_3_1_8_2","first-page":"247","article-title":"Internal fixation of femoral neck fractures: a follow-up study of 118 cases","volume":"87","author":"Stappaerts KH","year":"1987","unstructured":"Stappaerts KH, Broos PL. 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