[1]王添兴,李国庆,汪 洋,等.空心加压螺钉与动力髋螺钉治疗股骨颈骨折术后股骨头坏死相关并发症的Meta分析[J].医学信息,2019,32(02):83-86.[doi:10.3969/j.issn.1006-1959.2019.02.024]
　WANG Tian-xing,LI Guo-qing,WANG Yang,et al.Meta-analysis of Complications Associated with Hollow Compression Screws and Dynamic Hip Screws in the Treatment of Femoral Head Necrosis after Femoral Neck Fracture[J].Journal of Medical Information,2019,32(02):83-86.[doi:10.3969/j.issn.1006-1959.2019.02.024]
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空心加压螺钉与动力髋螺钉治疗股骨颈骨折术后股骨头坏死相关并发症的Meta分析()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年02期
页码:
83-86
栏目:
论著
出版日期:
2019-01-15

文章信息/Info

Title:
Meta-analysis of Complications Associated with Hollow Compression Screws and Dynamic Hip Screws in the Treatment of Femoral Head Necrosis after Femoral Neck Fracture
文章编号:
1006-1959（2019）02-0083-04
作者:
王添兴1; 2; 李国庆1; 2; 汪 洋1; 2; 纪保超1; 2; 阿斯哈尔江·买买提依明1; 2
1.新疆医科大学，新疆 乌鲁木齐 830054；2.新疆医科大学第一附属医院关节外科，新疆 乌鲁木齐 830054
Author(s):
WANG Tian-xing1; 2; LI Guo-qing1; 2; WANG Yang1; 2; JI Bao-chao1; 2; Esharjan Mamatemin1; 2
1.Xinjiang Medical University,Urumqi 830054,Xinjiang,China;2.Department of Joint Surgery,the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054,Xinjiang,China
关键词:
空心加压螺钉; 动力髋螺钉; 股骨颈骨折; 股骨头坏死
Keywords:
Cannulated cancellous screws; Dynamic hip screw; Femoral neck fracture; Meta-analysis
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2019.02.024
文献标志码:
A
摘要:
目的 应用Meta分析评价空心加压螺钉与动力髋螺钉治疗股骨颈骨折对术后股骨头坏死及相关并发症的影响。方法 计算机检索 PubMed、Cochrane Library、Web of Science、CNKI等医学文献数据库所有关于空心加压螺钉与动力髋螺钉治疗股骨颈骨折的随机对照研究或回顾性对照研究文献，截止到2018年10月。采用RevMan 5.3软件进行统计分析。结果 共7篇文献 纳入标准，其中RCT3篇，CCT4篇，Meta 分析结果显示，股骨头坏死率与两种内固定方式无显著差异（OR=0.71，
Abstract:
Objective To evaluate the effects of cannulated compression screws and dynamic hip screws on femoral head necrosis and related complications after treatment of femoral head fractures. Methods Computer search PubMed, Cochrane Library, Web of Science, CNKI and other medical literature databases All randomized controlled trials or retrospective controlled studies of hollow compression screws and dynamic hip screws for the treatment of femoral neck fractures, as of October 2018. Statistical analysis was performed using RevMan 5.3 software. Results A total of 7 articles were included in the standard, including 3 RCT and 4 CCT. The results of meta-analysis showed that there was no significant difference between the femoral head necrosis rate and the two internal fixation methods (OR=0.71, 95% CI: 0.51~1.0, P=0.05). However, the internal fixation failure was statistically significant compared with the two internal fixation methods (OR=1.49, 95% CI: 1.39~1.57, P<0.01). Conclusion Compared with CCS, DHS can significantly reduce the postoperative internal fixation failure rate of patients with femoral neck fracture, and does not increase the rate of femoral head necrosis. This method is recommended for patients with femoral neck fractures.

参考文献/References:

[1]Gullberg B,Johnell O,Kanis JA.World-wide projections for hip fracture[J].Osteoporosis international:a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA,1997,7(5):407-413.
[2]Parker M,Johansen A.Hip fracture[J].BMJ(Clinical research ed),2006,333(7557):27-30.
[3]Zielinsji SM,Bouwmans CA,Heetveld MJ,et al.The societal costs of femoral neck fracture patients treated with internal fixation[J].Osteoporosis international:a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA,2014,25(3):875-885.
[4]Bhandari M,Devereaux PJ,Swiontkowski MF,et al.Internal fixation compared with arthroplasty for displaced fractures of the femoral neck.A Meta-analysis[J].The Journal of bone and joint surgery American volume,2003,85-a(9):1673-1681.
[5]Mundi S,Pindiprolu B,Simunovic N,et al.Similar mortality rates in hip fracture patients over the past 31 years[J].Acta orthopaedica,2014,85(1):54-59.
[6]Bhandari M,Devereaux PJ,Tornetta P,et al.Operative management of displaced femoral neck fractures in elderly patients : An international survey[J].Journal of Bone & Joint Surgery American Volume,2005,87(9):2122-2130.
[7]Hoshino CM,O'toole RV.Fixed angle devices versus multiple cancellous screws:what does the evidence tell us?[J].Injury,2015,46(3):474-477.
[8]Jadad AR,Moore RA,Carroll D,et al.Assessing the quality of reports of randomized clinical trials: is blinding necessary?[J].Controlled Clinical Trials,1996,17(1):1-12.
[9]Slim K,Nini E,Forestier D,et al.Methodological index for non-randomized studies (minors): development and validation of a new instrument[J].Anz Journal of Surgery,2015,73(9):712-716.
[10]Watson A,Zhang Y,Beattie S,et al.Prospective randomized controlled trial comparing dynamic hip screw and screw fixation for undisplaced subcapital hip fractures[J].ANZ journal of surgery, 2013,83(9):679-683.
[11]Siavashi B,Aalirezaei A,Moosavi M,et al.A comparative study between multiple cannulated screws and dynamic hip screw for fixation of femoral neck fracture in adults[J].International orthopaedics,2015,39(10):2069-2071.
[12]Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) Investigators. Fracture fixation in the operative management of hip fractures(FAITH):an international, multicentre,randomised controlled trial[J].Lancet,2017,389(10078):1519.
[13]吴飞跃,蓝日升,叶志君.动力髋螺钉及3根空心螺钉两种内固定方式治疗中老年股骨颈基底型骨折临床疗效对比[J].浙江创伤外科,2013(3):310-312.
[14]Jettoo P,James P.Dynamic hip screw fixation versus multiple screw fixation for intracapsular hip fracture[J].Journal of orthopaedic surgery(Hong Kong),2016,24(2):146-149.
[15]Chen C,Yu L,Tang X,et al.Dynamic hip system blade versus cannulated compression screw for the treatment of femoral neck fractures: A retrospective study[J].Acta orthopaedica et traumatologica turcica,2017,51(5):381-387.
[16]倪俊强.比较空心加压螺钉与动力髋螺钉治疗股骨颈骨折的疗效[J].齐齐哈尔医学院学报,2018,39(6):682-683.
[17]江辉耀.动力髋螺钉联合防旋螺钉和空心加压螺钉治疗股骨颈骨折的疗效比较[J].中国医药科学, 2013(23):210-212.
[18]Bhandari M,Rd TP,Hanson B,et al.Optimal internal fixation for femoral neck fractures:multiple screws or sliding hip screws?[J].Journal of Orthopaedic Trauma,2009,23(6):403-407.
[19]侯吴仁,徐敏鸥.动力髋螺钉加防旋螺钉与3枚空心螺钉治疗股骨颈粉碎性骨折的疗效比较[J].中国骨伤,2015,28(9):796-801.

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更新日期/Last Update: 2019-02-15