The therapeutic effect of fixation using alternative implants for the treatment of hip fractures (FAITH) in elderly patients with femoral neck fractures after falls: a meta-analysis
Abstract Background Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) is widely used for the treatment of femoral neck fractures. Aim This study conducted a comparative and meta-analysis of the therapeutic effects of different screw fixation methods in femoral neck fract...
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| Format: | Article |
| Language: | English |
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BMC
2025-05-01
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| Series: | European Journal of Medical Research |
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| Online Access: | https://doi.org/10.1186/s40001-025-02684-3 |
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| author | Sulan Long Khanitta Nuntaboot Suvapat Nakrukamphonphatn Wangqiao Zhu Jia Liu Meiyan Zhang Daofang Yu |
| author_facet | Sulan Long Khanitta Nuntaboot Suvapat Nakrukamphonphatn Wangqiao Zhu Jia Liu Meiyan Zhang Daofang Yu |
| author_sort | Sulan Long |
| collection | DOAJ |
| description | Abstract Background Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) is widely used for the treatment of femoral neck fractures. Aim This study conducted a comparative and meta-analysis of the therapeutic effects of different screw fixation methods in femoral neck fractures, with the aim of finding a better treatment. Methods Pubmed, Embase, Cochrane Library and Web of science databases were searched using MeSH Terms combined with free words without time or language constraints. MeSH Terms were "femoral neck fractures", "Sliding Hip Screw", "Cancellous Screws", "Fixation using Alternative Implants for the Treatment of Hip fractures", "over 50 years old". The search deadline is August 15, 2024. Two researchers sifted through the retrieved literature to come up with the included literature. After a close reading of the literature, Review Manager 5.4 was used to analyze the risk of bias in the included literature, compare various indicators of different screw fixation, and make forest and funnel maps. Results 214 literatures were retrieved from 4 databases were included in the study after screening. The bias of the included literature is good, and the randomness and blindness are clearly indicated in this paper. Pauwels Type III (Chi2 = 0.00, df = 3, I 2 = 0%, z = 0.80, p = 0.43), fall (Chi2 = 2.23, df = 2, I 2 = 10%, z = 1.88, p = 0.06) and Mortality (Chi2 = 4.80, df = 2, I 2 = 58%, z = 3.53, p = 0.0004) were lower in sliding hip screws than in cancellous screws. Garden type III and IV (Chi2 = 1.37, df = 3, I 2 = 0%, z = 0.71, p = 0.48) and Infection (Chi2 = 0.01, df = 2, I 2 = 0%, z = 0.28, p = 0.78) were lower in sliding hip screws than in cancellous screws (Both p > 0.05). Conclusions In Femoral neck fractures, sliding hip screws have a distinct advantage over cancellous screws. This has guiding significance for clinical treatment. Elderly patients with femoral neck fractures should be given priority for fixation with sliding hip screws. |
| format | Article |
| id | doaj-art-3a2c996157734f678fba678abaffae33 |
| institution | OA Journals |
| issn | 2047-783X |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
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| series | European Journal of Medical Research |
| spelling | doaj-art-3a2c996157734f678fba678abaffae332025-08-20T02:00:00ZengBMCEuropean Journal of Medical Research2047-783X2025-05-0130111010.1186/s40001-025-02684-3The therapeutic effect of fixation using alternative implants for the treatment of hip fractures (FAITH) in elderly patients with femoral neck fractures after falls: a meta-analysisSulan Long0Khanitta Nuntaboot1Suvapat Nakrukamphonphatn2Wangqiao Zhu3Jia Liu4Meiyan Zhang5Daofang Yu6Faculty of Nursing, Khon Kaen UniversityFaculty of Nursing, Khon Kaen UniversityFaculty of Nursing, Khon Kaen UniversityFaculty of Nursing, Youjiang Medical University for NationalitiesFaculty of Nursing, Khon Kaen UniversityFaculty of Nursing, Nanchang Medical CollegeFaculty of Traditional Chinese Medicine, Nanchang Medical CollegeAbstract Background Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) is widely used for the treatment of femoral neck fractures. Aim This study conducted a comparative and meta-analysis of the therapeutic effects of different screw fixation methods in femoral neck fractures, with the aim of finding a better treatment. Methods Pubmed, Embase, Cochrane Library and Web of science databases were searched using MeSH Terms combined with free words without time or language constraints. MeSH Terms were "femoral neck fractures", "Sliding Hip Screw", "Cancellous Screws", "Fixation using Alternative Implants for the Treatment of Hip fractures", "over 50 years old". The search deadline is August 15, 2024. Two researchers sifted through the retrieved literature to come up with the included literature. After a close reading of the literature, Review Manager 5.4 was used to analyze the risk of bias in the included literature, compare various indicators of different screw fixation, and make forest and funnel maps. Results 214 literatures were retrieved from 4 databases were included in the study after screening. The bias of the included literature is good, and the randomness and blindness are clearly indicated in this paper. Pauwels Type III (Chi2 = 0.00, df = 3, I 2 = 0%, z = 0.80, p = 0.43), fall (Chi2 = 2.23, df = 2, I 2 = 10%, z = 1.88, p = 0.06) and Mortality (Chi2 = 4.80, df = 2, I 2 = 58%, z = 3.53, p = 0.0004) were lower in sliding hip screws than in cancellous screws. Garden type III and IV (Chi2 = 1.37, df = 3, I 2 = 0%, z = 0.71, p = 0.48) and Infection (Chi2 = 0.01, df = 2, I 2 = 0%, z = 0.28, p = 0.78) were lower in sliding hip screws than in cancellous screws (Both p > 0.05). Conclusions In Femoral neck fractures, sliding hip screws have a distinct advantage over cancellous screws. This has guiding significance for clinical treatment. Elderly patients with femoral neck fractures should be given priority for fixation with sliding hip screws.https://doi.org/10.1186/s40001-025-02684-3Femoral neck fracturesFixation using alternative implants for the treatment of hip fractures (FAITH)Sliding hip screwsCancellous screwsMeta-analysis |
| spellingShingle | Sulan Long Khanitta Nuntaboot Suvapat Nakrukamphonphatn Wangqiao Zhu Jia Liu Meiyan Zhang Daofang Yu The therapeutic effect of fixation using alternative implants for the treatment of hip fractures (FAITH) in elderly patients with femoral neck fractures after falls: a meta-analysis European Journal of Medical Research Femoral neck fractures Fixation using alternative implants for the treatment of hip fractures (FAITH) Sliding hip screws Cancellous screws Meta-analysis |
| title | The therapeutic effect of fixation using alternative implants for the treatment of hip fractures (FAITH) in elderly patients with femoral neck fractures after falls: a meta-analysis |
| title_full | The therapeutic effect of fixation using alternative implants for the treatment of hip fractures (FAITH) in elderly patients with femoral neck fractures after falls: a meta-analysis |
| title_fullStr | The therapeutic effect of fixation using alternative implants for the treatment of hip fractures (FAITH) in elderly patients with femoral neck fractures after falls: a meta-analysis |
| title_full_unstemmed | The therapeutic effect of fixation using alternative implants for the treatment of hip fractures (FAITH) in elderly patients with femoral neck fractures after falls: a meta-analysis |
| title_short | The therapeutic effect of fixation using alternative implants for the treatment of hip fractures (FAITH) in elderly patients with femoral neck fractures after falls: a meta-analysis |
| title_sort | therapeutic effect of fixation using alternative implants for the treatment of hip fractures faith in elderly patients with femoral neck fractures after falls a meta analysis |
| topic | Femoral neck fractures Fixation using alternative implants for the treatment of hip fractures (FAITH) Sliding hip screws Cancellous screws Meta-analysis |
| url | https://doi.org/10.1186/s40001-025-02684-3 |
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