
Patients and Follow‐Up

femoral neck fractures, alcoholism, high‐dose hormones or, fractures, femoral neck fracture
We retrospectively reviewed young and middle‐aged patients with Pauwels type III femoral neck fracture who were treated with three CCSs or Gamma nail combined with one CCS at the First Hospital of Jilin University from 2015 to 2018.The inclusion criteria were as follows: (1) age <65 years; (2) Pauwels type III femoral neck fracture; (3) complete follow‐up data over >3 years; and (4) Garden III/IV femoral neck fracture.The exclusion criteria were as follows: (1) combined with ipsilateral intertrochanteric, subtrochanteric, or femoral shaft fractures; (2) long‐term use of high‐dose hormones or alcoholism; (3) pathological femoral neck fracture.Patients were classified into two groups: three CCS (CCS group) and Gamma nail combined with one CCS (Gamma nail + CCS group). In the CCS group, three CCSs were inserted in an inverted triangle pattern for treating the patients. The surgical fixation method used for treating patients in the Gamma nail + CCS group was as follows: first, the clinical routine implantation of the Gamma nail was performed, followed by the implantation of CCS behind the head screw of the Gamma nail (Figure Typical radiographs of femoral neck fractures with success in the CCS group and the Gamma nail + CCS group. (A–C) Radiographs of injury, post‐operation, and 3 months after operation in the CCS group. (D–F) Radiographs of injury, post‐operation, and 3 months after operation in the Gamma nail + CCS group