Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
July 4, 2026Journal of Orthopaedic Trauma

An analysis of risk factors for failure after operative treatment of displaced femoral neck fractures in patients 18-60 years of age

View Full Paper
Ask AI
Bookmark
Share

Authors

ERErika RoddyHarborview Medical CenterZRZachary RockovHarborview Medical CenterRFReza FiroozabadiHarborview Medical Center

Discussion

Loading...

Member takes

Implication

Retrospective cohort study identifies risk factors for treatment failure in younger patients with femoral neck fractures, suggesting implications for surgical approaches.

Key Points

  • To identify risk factors associated with treatment failure after surgery for displaced femoral neck fractures in patients aged 18-60.
  • Retrospective cohort study at a level 1 trauma center
  • Included 223 patients aged 18-60 with displaced femoral neck fractures
  • Examined various patient, injury, and treatment factors as potential risk factors for failure.
  • 30% overall failure rate observed, including 13% nonunion, 19% avascular necrosis, and 5% malunion.
  • Increased initial fracture displacement associated with higher risk of nonunion (OR 7.1, p=0.013).
  • Medial fracture exit <1cm linked to lower risk of avascular necrosis (OR 0.13, p=0.011).

Cite This Study

Roddy et al. (2026) studied this question.

synapsesocial.com/papers/6a48a3cb89561a0c2d78d7d2https://doi.org/10.1097/bot.0000000000003244
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Fixation of femoral neck fractures in patients younger than 65 years: a retrospective descriptive study at a high-volume trauma centre2020 · 2 citations
  2. 2Incidence and risk factors for fixation failure of femoral neck fractures in adults: a single-center multifactorial analysis2026 · 1 citations
  3. 3Factors leading to failure of fixation of femoral neck fractures in young adults: a retrospective study among a cohort of Egyptian population2020
  4. 4Contralateral Neck-shaft Angle Lower Than 130° Is Associated With Clinical Failure in Nongeriatric Individuals: Analysis of the National Femoral Neck Fracture Database of 1066 Patients2024 · 9 citations
  5. 5Management of femur neck fractures in young adults under the age of 60 years2020 · 3 citations