Femoral neck system reduces surgical time and complications in adults with femoral neck fractures: A systematic review and meta-analysis.
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Saad, AhmedPatralekh, Mohit Kumar
Jain, Vijay Kumar
Shrestha, Sagaurav
Botchu, Rajesh
Iyengar, Karthikeyan P
Publication date
2022-06-11
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Purpose: Femoral neck fractures (FNF) in adults are conventionally managed with surgical options. This paper is aimed to assess the safety, and functional outcomes of the novel Femoral neck system (FNS) for FNF treatment in adult population. Methods: An organized quest of four literature databases (PubMed, Scopus, Web of Science, and Cochrane Library) was performed on March 1, 2022 using the term "femoral neck system". Fixed or random-effect meta-analysis was used to analyse the outcome measures after selecting relevant studies and assessing their quality. Heterogeneity was considered when calculating pooled effect sizes and 95% confidence ranges. Results: On comparing FNS with cannulated cancellous screws (CCS) or other methods, in a total of 762 patients (351 FNS and 411 CCS) in the 11 comparative studies considered for meta-analysis, blood loss was pointedly higher overall in the FNS group, mean difference 115.77 ml; 95% CI 3.11 ml, 28.42 ml; test of overall effect: z = 1.68, p = 0.09); with considerable heterogeneity. However, in the FNS group the operative time was substantially lower (Mean difference -7.91 min; 95% CI -15.01, -0.80; test of overall effect: z = 2.18, p = 0.03, with marked heterogeneity). Moreover, complications such as infections, non-union, osteonecrosis, implant cut-out were significantly lower in the FNS group with a Mantel Haenszel Odds ratio of 0.20 (95% CI 0.12, 0.34: Z = 6.01, p < 0.0001). Conclusion: Keeping in mind the heterogenicity of the studies, -management of adult patients with FNF with FNS can provide results comparable to traditional fixation methods with significantly lower rate of complications.Citation
Saad A, Patralekh MK, Jain VK, Shrestha S, Botchu R, Iyengar KP. Femoral neck system reduces surgical time and complications in adults with femoral neck fractures: A systematic review and meta-analysis. J Clin Orthop Trauma. 2022 Jun 11;30:101917. doi: 10.1016/j.jcot.2022.101917Type
ArticleAdditional Links
http://www.sciencedirect.com/science/journal/09765662https://www.ncbi.nlm.nih.gov/pmc/journals/2270/
PMID
35755934Publisher
Elsevierae974a485f413a2113503eed53cd6c53
10.1016/j.jcot.2022.101917