{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T22:42:04Z","timestamp":1792017724692,"version":"4.4.0"},"reference-count":27,"publisher":"Universa BV","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Orthop Belg"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:p>Prospective study of femoral neck system (FNS) vs. cannulated compression screw (CCS) fixation has not been appropriately reported. We prospectively investigate the efficacy of FNS vs. CCS fixation combined with ERAS in the treatment of unstable intracapsular FNF. 70 consecutive patients with unstable intracapsular femoral neck fracture met the inclusion criteria were randomly divided into FNS group and CCS group (each 35 cases). ERAS was applied in both groups. The perioperative period and follow-up results were compared. The operation time, fluoroscopy time, fracture reduction quality and follow-up time were not significantly different between the two groups (P &gt; 0.05). The blood loss in the FNS group was significantly more than that in CCS group whereas the time to start weight-bearing, fracture healing time, internal fixation failure in the FNS group were significantly less than those in the CCS group (P &lt; 0.05). The neck shortening and revision surgery of the FNS group showed a trend of superiority to CCS group but the difference was not significantly different (P &gt; 0.05). The AVN in the two groups was similar. At the last follow-up, the Harris hip score in the FNS group was higher than that in the CCS group (P &lt; 0.05). Hence, FNS fixation with ERAS for FNF can provide earlier weight-bearing, fewer complications related to the implant, faster healing and better functional recovery than CCS fixation with ERAS, which is consistent with the better biomechanical properties of FNS.<\/jats:p>","DOI":"10.52628\/90.3.12044","type":"journal-article","created":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T20:52:33Z","timestamp":1737665553000},"page":"389-395","source":"Crossref","is-referenced-by-count":3,"title":["Prospective study of femoral neck system fixation combined with enhanced recovery after surgery for the treatment of unstable intracapsular femoral neck fracture"],"prefix":"10.52628","volume":"90","author":[{"given":"W","family":"CHANGBAO","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"SANJUN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"HAIFENG","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"JINGYI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"27062","published-online":{"date-parts":[[2025,1]]},"reference":[{"key":"ref0","unstructured":"Gruszka D, Dietz SO, Brodt R, Wagner D, Rommens PM, Kuechle R. Results of the treatement of intracapsular femoral neck fractures with a new dynamic locking plate. Acta Orthop Belg. 2017; 83(4):536-43."},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Xu DF, Bi FG, Ma CY, Wen ZF, Cai XZ. A. A systematic review of undisplaced femoral neck fracture treatments for patients over 65 years of age, with a focus on union rates and avascular necrosis. J Orthop Surg Res. 2017; 12(1):28.","DOI":"10.1186\/s13018-017-0528-9"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Galal S, Nagy M. Non-parallel screw fixation for femoral neck fractures in young adults. J Clin Orthop Trauma. 2017; 8(3): 220-4.","DOI":"10.1016\/j.jcot.2017.07.003"},{"key":"ref3","unstructured":"Voeten S, Deunk J, Vermeulen J, De Lange-De Klerk E, van den Brand H, Zuidema W. The addition of an anti-rotation screw to the dynamic hip screw. Acta Orthop Belg. 2020;86(2):233-8."},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Yin H, Pan Z, Jiang H. Is dynamic locking plate (Targon FN) a better choice for treating of intracapsular hip fracture? a meta- analysis. Int J Surg. 2018; 52:303-4.","DOI":"10.1016\/j.ijsu.2018.01.044"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Xiao YP, Shu DP, Bei MJ, Ji T, Kan WS, Li SG. The clinical application of a novel method of internal fixation for femoral neck fractures-dynamic locking compression system. J Orthop Surg Re. 2018;13(1):131.","DOI":"10.1186\/s13018-018-0827-9"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Ghimire S, Miramini S, Richardson M, Mendis P, Zhang L. Role of dynamic loading on early stage of bone fracture healing. Ann Biomed Eng. 2018;46(11):1768-84.","DOI":"10.1007\/s10439-018-2083-x"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Ye Y, Hao J, Mauffrey C, Hammerberg EM, Stahel PF, Hak DJ. Optimizing stability in femoral neck fracture fixation. 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Clinical outcome of femoral neck system versus cannulated compression screws for fixation of femoral neck fracture in younger patients. J Orthop Surg Res. 2021;16:370 .","DOI":"10.21203\/rs.3.rs-394492\/v1"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Tang Y, Zhang Z, Wang L, Xiong W, Fang Q, Wang G. Femoral neck system versus inverted cannulated cancellous screw for the treatment of femoral neck fractures in adults: a preliminary comparative study. J Orthop Surg Res. 2021;16(1): 504.","DOI":"10.1186\/s13018-021-02659-0"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Gwynne-Jones DP, Martin G, Crane C. Enhanced recovery after surgery for hip and knee replacements. Orthop Nurs. 2017;36(3):203-10.","DOI":"10.1097\/nor.0000000000000351"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Wainwright TW, Immins T, Antonis JHA, Hartley R, Middleton RG. Enhanced recovery after surgery: concepts and application to total shoulder replacement. 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An end- result study using a new method of result evaluation. J Bone Joint Surg Am. 1969; 51(4):737-55.","DOI":"10.1007\/978-1-4471-5451-8_3"},{"key":"ref20","doi-asserted-by":"publisher","unstructured":"Polat A, Misir A, Buyukkuscu MO, Basilgan S, Basar H. Factors associated with femoral neck shortening after closed or open reduction and screw fixation. Indian J Orthop. 2021;56(2):303-11.","DOI":"10.1007\/s43465-021-00484-5"},{"key":"ref21","doi-asserted-by":"publisher","unstructured":"Song HK, Choi HJ, Yang KH. Risk factors of avascular necrosis of ihe femoral head and fixation failure in patients with valgus angulated femoral neck fractures over the age of 50 years. Injury. 2016;47 (12):2743-78.","DOI":"10.1016\/j.injury.2016.10.022"},{"key":"ref22","doi-asserted-by":"publisher","unstructured":"Su Z, Liang L, Hao Y. Medial femoral plate with cannulatedscrew for Pauwels type III femoral neck fracture: A meta- analysis. J Back Musculoskelet Rehabil. 2021; 34(2):169-77.","DOI":"10.3233\/bmr-200183"},{"key":"ref23","doi-asserted-by":"publisher","unstructured":"Zhao JH, Shi HP, Jiang DJ, Wang LT, Chen SB, Jia WT. Analysis of combined indicators for sisk of osteoporotic hip fracture in elderly women. Orthop Surg. 2021; 2021.","DOI":"10.21203\/rs.3.rs-30672\/v1"},{"key":"ref24","doi-asserted-by":"publisher","unstructured":"Wang Y, Ma JX, Yin T, Han Z, Cui SS, Liu ZP, et al. Correlation between reduction quality of femoral neck fracture and femoral head necrosis based on biomechanics. Orthop Surg. 2019; 11(2):318-24.","DOI":"10.1111\/os.12458"},{"key":"ref25","doi-asserted-by":"publisher","unstructured":"Shu DP, Xiao YP, Bei MJ, Ji T, Peng YJ, Ma B, Li SG. Dynamic compression locking system versus multiple cannulated compression screw for the treatment of femoral neck fractures: a comparative study. 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