Femoral Neck Complications in Isolated Femoral Neck Fractures Versus Ipsilateral Femoral Neck and Shaft Fractures

Patients with a displaced isolated femoral neck fractures are at higher risk for nonunion, osteonecrosis, and revision surgery than those with a displaced femoral neck fracture associated with an IpsiFNS. Quality of reduction had a relationship with osteonecrosis rates. An open approach to the neck reduction was associated with nonunion at a higher rate in displaced IsoFN than in displaced IpsiFNS. A fixation construct of multiple cancellous independent screws that included fully threaded screws had higher odds for nonunion.

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Publication Details

Journal
JAAOS Global Research and Reviews
Published
2025-08-27
DOI
https://doi.org/10.5435/jaaosglobal-d-25-00224
Primary Topic
Hip and Femur Fractures
Type
article
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article

Femoral Neck Complications in Isolated Femoral Neck Fractures Versus Ipsilateral Femoral Neck and Shaft Fractures

Dhruv Mendiratta, Jeremy Hreha, Helyn G. Fraser, Mark Adams et al.
JAAOS Global Research and Reviews
Hip and Femur Fractures
article

Femoral Neck Complications in Isolated Femoral Neck Fractures Versus Ipsilateral Femoral Neck and Shaft Fractures

Dhruv Mendiratta, Jeremy Hreha, Helyn G. Fraser, Mark Adams, B Batko, Janice M. Bonsu, Ujjawal Savani, Thomas M. Large, Emily E. Wild
article en

Abstract

Patients with a displaced isolated femoral neck fractures are at higher risk for nonunion, osteonecrosis, and revision surgery than those with a displaced femoral neck fracture associated with an IpsiFNS. Quality of reduction had a relationship with osteonecrosis rates. An open approach to the neck reduction was associated with nonunion at a higher rate in displaced IsoFN than in displaced IpsiFNS. A fixation construct of multiple cancellous independent screws that included fully threaded screws had higher odds for nonunion.

JAAOS Global Research and ReviewsVol. 9(9)
University of Maryland, Baltimore (US), University of Maryland Medical Center (US), Fraser Health (CA), Wildlife Information Liaison Development (IN), British American Tobacco (Germany) (DE), Azienda Sanitaria Locale N. 2 Savonese (IT), Adams State University (US)
Openalex Percentile: Top 63%
Hip and Femur Fractures
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Femoral Neck Complications in Isolated Femoral Neck Fractures Versus Ipsilateral Femoral Neck and Shaft Fractures — Dhruv Mendiratta, Jeremy Hreha, et al. · JAAOS Global Research and Reviews (2025) | TGRS Research Map | TGRS