AI Article Synopsis

  • * Seven relevant studies were analyzed, revealing significant benefits of FNS in terms of blood loss, healing time, and complication rates, although there were no major differences in surgery duration or hospital stay between the two methods.
  • * The conclusion suggests that FNS is more effective and has fewer complications than CCSs; however, the authors call for more high-quality research to strengthen these findings.

Article Abstract

Background: We performed a meta-analysis to compare the efficacy and safety of the femoral neck system (FNS) with cannulated cancellous screws (CCSs) in treating femoral neck fractures (FNFs) in controlled clinical trials.

Methods: Eligible scientific articles published prior to September 2021 were retrieved from the PubMed, Web of Science, Springer, ScienceDirect and Cochrane Library databases. The statistical analysis was performed with RevMan 5.1.

Results: Seven retrospective studies met the inclusion criteria. Meta-analysis showed that there were significant differences in perioperative blood loss, the postoperative Harris score, healing time, fluoroscopy frequency, total complications, femoral head necrosis, femoral neck shortening and screw cutout. No significant differences were found regarding operation time, length of hospital stay or nonunion between the two groups.

Conclusion: Compared with CCSs, the FNS showed better clinical efficacy and fewer complications in treating FNFs. Due to the limited quality and data of the currently available evidence, more high-quality randomized controlled trials are needed.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9272162PMC
http://dx.doi.org/10.1177/21514593221113533DOI Listing

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