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Group 1 patients tended to be younger than the other two groups. Smoking has a positive association with the risk of femoral neck fracture amongst active and former male smokers. This study concluded that active smokers have a higher risk of non-union compared with non-smokers or former smokers. Smoking history, especially heavy or long-term, should play a role in deciding which fixation construct type to use for femoral neck fractures. Smoking has a positive association with the risk of femoral neck fracture amongst active and former mal