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. 2020 Jul 2;99(27):e20970.
doi: 10.1097/MD.0000000000020970.

Multiple screws versus sliding hip screws in femoral neck fractures: A protocol of cohort study

Yu Zhao  1 , Kun Yin, Huiling Zhao, Zeli Peng
Affiliations

Multiple screws versus sliding hip screws in femoral neck fractures: A protocol of cohort study

Yu Zhao et al. Medicine (Baltimore). .

Expression of concern in

  • Expression of Concern: Study Protocols.
    [No authors listed] [No authors listed] Medicine (Baltimore). 2025 Nov 7;104(45):e46330. doi: 10.1097/MD.0000000000046330. Medicine (Baltimore). 2025. PMID: 41204616 Free PMC article. No abstract available.

Abstract

Background: There has been a paucity of cohort trials directly comparing multiple cannulated screws (MCS) and sliding hip screws (SHS) in femoral neck fractures at any level. Thus, a well-conducted clinical trial with an adequate sample size is urgently needed. We undertake a retrospective study to compare outcomes in patients who undertake MCS or SHS fixation for femoral neck fractures.

Methods: A retrospective review of femoral neck fractures performed with SHS or MCS between February 2016 and June 2018 was conducted with Institutional Review Board approval in the First Affiliated Hospital of Dali University of Orthopedic Trauma. All cases were performed by a single surgeon. Of these, we included 180 patients (90 hips) that were performed surgery in treatment of femoral neck fractures. All patients received the same standardized postoperative multimodal pain protocol and the same postoperative rehabilitation program. The primary endpoint was Harris Hip Score. Secondary outcome measures include operation time, length of hospital stay, incision length, patient satisfaction, and postoperative complications. Multivariate linear and regression analyses was used to identify independent predictors of outcome. A P-value of <.05 was defined as statistical significance.

Results: We hypothesize that both treatments provide comparable outcomes.

Trial registration: This study protocol was registered in Research Registry (researchregistry5638).

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Conflict of interest statement

The authors have no conflicts of interest to disclose.

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