Incidence and risk factors for fixation failure of femoral neck fractures in adults: a single-center multifactorial analysis - Takeaways - MDSpire

Incidence and risk factors for fixation failure of femoral neck fractures in adults: a single-center multifactorial analysis

  • By

  • Shuo Feng

  • Heng-Heng Yu

  • Li Wang

  • JiaChuan Wu

  • Shang Qiu

  • Sheng-Li Li

  • Xiao Liu

  • February 23, 2026

  • 0 min

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  • 1

    The study analyzed 217 adults with femoral neck fractures treated with internal fixation from 2012 to 2023.

  • 2

    Fixation failure occurred in 24.0%, avascular necrosis in 14.3%, and nonunion in 9.7% of patients.

  • 3

    Displaced fracture patterns, poor reduction quality, and excessive alcohol consumption were linked to fixation failure and AVN.

  • 4

    Earlier surgery and cannulated screw fixation were associated with lower odds of nonunion.

  • 5

    Optimizing reduction quality and addressing modifiable risk factors can improve outcomes in femoral neck fractures.

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