• Ximu Kuang, Guojian Jian, Desheng Xie, Xiaolin Chen, and Haoyuan Liu.
• Department of Orthopedics, Chenggong Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
• Eur J Trauma Emerg Surg. 2023 Aug 1; 49 (4): 184518531845-1853.

PurposeThere is no specific literature on the best implantation position of the Femoral Neck System (FNS) for treating Pauwels type III femoral neck fracture in young adults.MethodsUse finite-element analysis to compare the mechanical properties of implantation positions: FNS in the central position, FNS in the low position, and FNS in the low position combined with cannulated screw (CS). The CT data of the femur were imported into the mimics20.0 to obtain the three-dimensional model of the femur; imported into geomagic2017 and SolidWorks 2017 for optimizations; models of FNS and CS are built on the basis of the device manuals. Grouping is as follows: FNS group, FNS-LOW group, and FNS-CS group. Assemble and import them into abaques6.14 for load application. The displacement distribution and von Mises Stress value of them were compared.ResultsOn femoral stability and stress distribution, the FNS-CS group performs best, followed by the FNS-LOW group, and finally FNS group. The FNS-LOW group has an improvement over the FNS group but not by much.ConclusionIn operations, when the implantation position of the central guide wire is not at the center of the femoral neck but slightly lower, it is recommended not to adjust the wire repeatedly in pursuit of the center position; for femoral neck fractures that are extremely unstable at the fracture end or require revision, the insertion strategy of FNS in the low position combined with CS can be adopted to obtain better fixation effects.© 2023. The Author(s).

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