Meta-Analysis
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 6, 2022; 10(31): 11454-11465
Published online Nov 6, 2022. doi: 10.12998/wjcc.v10.i31.11454
Efficacy of the femoral neck system in femoral neck fracture treatment in adults: A systematic review and meta-analysis
Zhi-Fang Wu, Zi-Heng Luo, Liu-Chao Hu, Yi-Wen Luo
Zhi-Fang Wu, Zi-Heng Luo, Liu-Chao Hu, Yi-Wen Luo, Department of Orthopedics and Trauma, The Third Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Research Institute for Orthopedics and Traumatology of Chinese Medicine), Guangzhou 510378, Guangdong Province, China
Author contributions: Wu ZF and Luo ZH were responsible for the data management and formal analysis; Wu ZF and Hu LC were responsible for the manuscript design, concept and methodology; Luo ZH and Hu LC searched the literature; Wu ZF wrote the original draft; Luo YW was responsible for manuscript writing, reviewing and editing.
Supported by Guangdong Provincial Administration of Chinese Medicine Research Project, No. 20201168; and the Project of Foundations of the Guangdong Research Institute for Orthopedics and Traumatology of Chinese Medicine, No. GYH202101-02.
Conflict-of-interest statement: All authors report no relevant conflict of interest for this article.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yi-Wen Luo, PhD, Chief Doctor, Department of Orthopedics and Trauma, The Third Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Research Institute for Orthopedics and Traumatology of Chinese Medicine), No. 261 Longxi Road, Liwan District, Guangzhou 510378, Guangdong Province, China. gzzyydxlyw@126.com
Received: April 25, 2022
Peer-review started: April 25, 2022
First decision: June 27, 2022
Revised: July 19, 2022
Accepted: October 9, 2022
Article in press: October 9, 2022
Published online: November 6, 2022
Core Tip

Core Tip: This study aimed to investigate the efficacy of the femoral neck system (FNS) in comparison with cannulated compression screws (CCS) in the treatment of femoral neck fractures in adults. A total of 10 studies involving 711 participants were included. This study revealed that compared with CCS, the FNS could decrease the chances of developing short femoral neck and delayed union or nonunion as well as accelerate fracture healing and improve the Harris Hip score at the last follow-up in adult patients with femoral neck fractures. These results could help in the selection of the most appropriate treatment for patients with femoral neck fractures.