Evidence Search

Femoral Neck System Versus Total Hip Arthroplasty in the Treatment of Pauwels Type III Unstable Femoral Neck Fractures in Patients Aged 60–70 Years: A Comparative Analysis of Clinical Efficacy and Hip Function

Orthopaedic Surgery | 2026 | Xiangyu Zong, Kuishuai Xu, Xuechao Yu, Xinyu Cui

ABSTRACT Objective At present, there is no clear clinical consensus on the optimal surgical method for the specific population of patients aged 60–70 years with unstable Pauwels Type III femoral neck fractures. Few studies have investigated the efficacy of the Femoral Neck System (FNS) in hip‐preserving treatment for this patient group. Therefore, it is necessary to analyze the...

[Actual relevance of Pauwels' classification of femoral neck fractures--a critical review].

Zeitschrift fur Orthopadie und Unfallchirurgie | 2010 | Schwarz N

[Indexed for MEDLINE] 6. Injury. 1998 Sep;29(7):521-3. doi: 10.1016/s0020-1383(98)00118-1. Is Pauwels classification still valid? Parker MJ(1), Dynan Y. Author information: (1)Peterborough District Hospital, UK. Intracapsular proximal femoral fracture may be classified using the Pauwels classification, which relates to the shearing angle of the fracture surface. It implies that...

Biomechanical study of internal fixation methods for undisplaced femoral neck fractures with osteoporosis based on the Pauwels angle: Fixed angle device versus three cannulated screws

Journal of Orthopaedic Science | 2025 | Sakura Kuniyoshi, Satoshi Nakasone, Mika Takaesu, Takahiro Igei

Biomechanical comparison of femoral neck anti-rotation and support system versus femoral neck system for unstable pauwels III femoral neck fractures

Journal of Orthopaedic Surgery and Research | 2024 | Taiyou Wang, Guangjian Wang, Fukang Zhu, Bo Qiao

Femoral Neck System vs. four cannulated screws in the treatment of Pauwels III femoral neck fracture

Journal of Orthopaedic Science | 2023 | Hongkuan Lin, Caosheng Lai, Zhiping Zhou, Chaoqiang Wang

Combined Deflection Angle Classification: A Novel Typing System of Adult Femoral Neck Fracture

Orthopaedic Surgery | 2023 | Ying Zhang, Qiang Yuan, Qiushi Wei, Yiping Dong

ObjectiveFemoral neck fracture (FNF) is a common clinical trauma with high mortality and disability rates. Furthermore, its incidence increases exponentially with increasing age. Existing classifications have some disadvantages. Thus, this study aimed to establish a novel typing system for FNF.MethodsWe retrospectively analyzed all adult patients with FNF admitted to our hospit...

The Significance of Evaluating the Femoral Head Blood Supply after Femoral Neck Fracture: A New Classification for Femoral Neck Fractures

Orthopaedic Surgery | 2022 | Dewei Zhao, Zihua Wang, Liangliang Cheng, Simiao Tian

Abstract Objective To compare a new classification with the Garden classification by exploring their relationships with vascular injury. Methods This retrospective study enrolled 73 patients with subcapital femoral neck fracture from July 2015 to November 2018, including 32 males and 41 females with an average age of 47.2 years. All patients were classified by the Garden classi...

Management of Neglected Femoral Neck Fracture in Young Adolescents with Modified Pauwels Osteotomy

International Journal of Orthopaedic Surgery | 2022 | Chinmoy Das, Ahmad Saifuddin, Debasish Bora

Background: Non-union of the femoral neck fracture in young is difficult to tackle. Many reported treatment methods for neglected femoral neck fractures do not always satisfactorily address the problems like non-union, coxa vara, and limb shortening. If the femoral head is viable, the most appropriate treatment is valgus osteotomy, which increases the femoral neck angle to chan...

Direct Radiography Following Fracture Reduction Improves the Reliability of Pauwels Classification.

Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca | 2021 | Kumbaraci M, Turgut A, Bacaksiz T, Ilyas G

[Indexed for MEDLINE] 2. J Bone Joint Surg Am. 2008 Aug;90(8):1654-9. doi: 10.2106/JBJS.G.01353. Results of internal fixation of Pauwels type-3 vertical femoral neck fractures. Liporace F(1), Gaines R, Collinge C, Haidukewych GJ. Author information: (1)Investigation performed at North Jersey Orthopedic Institute, Newark, New Jersey, USA. Comment in J Bone Joint Surg Am. 2009 Fe...

Revisiting Pauwels' classification of femoral neck fractures

World Journal of Orthopedics | 2021 | Sumon Nandi

Medial Plating of Pauwels Type III Femoral Neck Fractures Decreases Shear and Angular Displacement Compared with a Derotational Screw

Journal of Orthopaedic Trauma | 2020 | Chima D. Nwankwo, Patrick Schimoler, Victor Greco, Alexander Kharlamov

Objectives: The purpose of this mechanical study was to compare 2 methods of augmented stabilization of Pauwels type III femoral neck fractures. Methods: Ten matched pairs of young cadaveric femurs were cut 22 cm distal to the lesser trochanter. All specimens received a 70-degree osteotomy, which was stabilized with a 135-degree sliding hip screw. One of each pair received augm...

Higher stability and more predictive fixation with the Femoral Neck System versus Hansson Pins in femoral neck fractures Pauwels II

Journal of Orthopaedic Translation | 2020 | Clemens Schopper, Ivan Zderic, Johanna Menze, David Müller

Vertical femoral neck fractures in young adults: a closed fixation strategy using a transverse cancellous lag screw.

Injury | 2017 | Guimarães JAM, Rocha LR, Noronha Rocha TH, Bonfim DC

[Indexed for MEDLINE] 5. Z Orthop Unfall. 2010 Mar;148(2):191-7. doi: 10.1055/s-0029-1240588. [Actual relevance of Pauwels' classification of femoral neck fractures--a critical review]. [Article in German] Schwarz N(1). Author information: (1)Unfallkrankenhaus, Klagenfurt, Osterreich. nikolaus.schwarz@auva.at AIM: The aim of this study was to evaluate the validity of Pauwels' c...

Eight orthopedic surgeons achieved moderate to excellent reliability measuring the preoperative posterior tilt angle in 50 Garden-I and Garden-II femoral neck fractures

Journal of Orthopaedic Surgery and Research | 2017 | Filip C. Dolatowski, Sigurd Erik Hoelsbrekken

Fracture Morphology of High Shear Angle “Vertical” Femoral Neck Fractures in Young Adult Patients

Journal of Orthopaedic Trauma | 2014 | Cory A. Collinge, Hassan Mir, Robert Reddix

Is Pauwels classification still valid?

Injury | 1998 | Parker MJ, Dynan Y

[Indexed for MEDLINE]

Valgus Osteotomy for Delayed Presentation of Femoral Neck Fractures Pauwels Grade III

Journal of Orthopaedic Trauma | 2010 | Abdelsalam Eid

Results of internal fixation of Pauwels type-3 vertical femoral neck fractures.

The Journal of bone and joint surgery. American volume | 2008 | Liporace F, Gaines R, Collinge C, Haidukewych GJ

[Indexed for MEDLINE] 3. J Orthop Surg Res. 2016 Dec 12;11(1):161. doi: 10.1186/s13018-016-0498-3. An update on the Pauwels classification. Shen M(1), Wang C(2), Chen H(3), Rui YF(3), Zhao S(4). Author information: (1)School of Medicine, Southeast University, No. 87 Ding Jia Qiao, Nanjing, Jiangsu, 210009, China. (2)Department of Orthopaedics, Zhongda Hospital, School of Medici...

Pauwels' Classification of Femoral Neck Fractures: Correct Interpretation of the Original

Journal of Orthopaedic Trauma | 2001 | Jan Bartoníček

Pauwels Osteotomy for Nonunions of the Femoral Neck

Orthopedic Clinics of North America | 1990 | F.T. Ballmer, P.M. Ballmer, F. Baumgaertel, R. Ganz