不稳定型股骨颈骨折内固定治疗的研究进展

Abstract
Figure/Table
References (63)
Related Citation (15)

Download: PDF (0 KB) HTML (60 KB)
Export: BibTeX | EndNote (RIS)

Abstract Femoral neck fractures are a common injury in clinic.Pauwels′ type Ⅲfemoral neck fractures have special biomechanical characteristic,and was known as unstable femoral neck fractures.The main reason of internal fixation failure and nonunion are shear force and varus stress generated between the fracture interfaces.There are various methods of internal fixation to treat unstable femoral neck fractures except to use traditional three cannulated compression screws (CCS),including three cannulated compression screws (CCS) combined with one transverse screw,dynamic hip screw (DHS) combined with de-rotational screw (DS),three cannulated compression screws combined with medial buttress plate,percutaneous compression plate (PCCP) and InterTAN intramedullary nail.Which were reviewed including the biomechanical characteristics,advantages and disadvantages of unstable femoral neck fracture internal fixation,the treatment of nonunion and osteonecrosis of femoral head (ONFH) after surgery,and providing a reference for clinical treatment of unstable femoral neck fractures.

Key words： Unstable femoral neck fracture;Pauwels&prime classification;Treatment of internal fixation;Complications

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	FAN Bing
	GAO Shi-chang

Cite this article:

FAN Bing,GAO Shi-chang. Research progress in internal fixation of unstable femoral neck fractures[J]. 中国当代医药, 2020, 27(14): 34-39.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I14/34

[60]	左荣跃，陈一勇，史增元，等.旋髂浅动脉联合缝匠肌蒂髂骨瓣治疗青壮年股骨颈骨折[J].中华显微外科杂志，2019，42（3）：254-257.
[59]	张雨，刘亮，栗树伟，等.老年股骨颈骨折经闭合复位内固定术后股骨头坏死发生率及影响因素[J].中国骨与关节杂志，2016，5（4）：305-309.
[1]	赵海涛，陈伟，王娟，等.2010年至2011年东部沿海与西部内陆地区成人股骨颈骨折的流行病学对比分析[J].中华创伤骨科杂志，2015，17（8）：704-708.
[2]	Pauwels F.Biomechanics of the normal and diseased hip[M].Berlin：Springer Berlin Heidelberg，1976：83.
[4]	王亦璁，姜保国.骨与关节损伤[M].5版.北京：人民卫生出版社，2015：1155-1156.
[5]	黎宁，彭阿钦，曹晶，等.股骨颈骨折保守治疗继发移位及头坏死的调查分析[J].中国矫形外科杂志，2007，15（18）：1364-1366.
[7]	Wendt K，Heim D，Josten C，et al.Recommendations on hip fractures[J].Eur J Trauma Emerg Surg，2016，42（4）：425-431.
[51]	周军杰，曹成福，庞金辉，等.不同内固定手术方法治疗不稳定型股骨颈骨折的对照分析[J].中国矫形外科杂志，2013，21（2）：136-139.
[52]	吕波，王跃，朱建辛，等.人工关节置换治疗股骨颈骨折内固定失败的疗效观察[J].中国骨伤，2015，28（9）：784-787.
[53]	王春生，张子琦，杨佩，等.股骨颈骨折全髋关节置换术后股骨近端形态变化[J].中国骨伤，2015，28（9）：788-791.
[58]	刘粤，张长青，孟炜，等.闭合复位空心钉治疗中老年股骨颈骨折后股骨头坏死的多元相关研究[J].中华创伤骨科杂志，2006，8（7）：617-621.
[3]	Bartonicek J.Pauwels′ classification of femoral neck fractures：correct interpretation of the original[J].J Orthop Trauma，2001，15（5）：358-360.
[6]	Hayashi Y，Tanaka J，Tokimura F，et al.Conservative treatment of Garden stage I femoral neck fracture in elderly patients[J].Arch Orthop Trauma Surg，2002，122（1）：24-28.
[8]	Bjorkelund KB，Hommel A，Thorngren KG，et al.The influence of perioperative care and treatment on the 4-month outcome in elderly patients with hip fracture[J].AANA J，2011，79（1）：51-61.
[9]	Radcliff TA，Stoner TJ，Henderson WG.Patient risk factors，operative care，and outcomes among older community-dwelling male veterans with hip fracture[J].J Bone Joint Surg Am，2008，90A（1）：34-42.
[10]	Shiga T，Wajima Z，Ohe Y.Is operative delay associated with increased mortality of hip fracture patients?Systematic review，meta-analysis，and meta-regression[J].Can J Anaesth，2008，55（3）：146-154.
[61]	曾强.空心钉内固定加股直肌骨瓣移植治疗青壮年股骨颈骨折23例[J].中国修复重建外科杂志，2008，22（4）：509-510.
[62]	陈坤峰，徐继胜，赵志坚.股方肌骨瓣移植联合螺钉内固定治疗中青年陈旧性股骨颈骨折[J].中华显微外科杂志，2017，40（2）：178-181.
[11]	Chambers K，Niranjan S，Godkar D，et al.Morbidity and mortality among patients with hip fractures surgically repaired within and after 48 hours[J].Am J Ther，2007，14（6）：508-513.
[12]	Papakostidis C，Panagiotopoulos A，Piccioli A，et al.Timing of internal fixation of femoral neck fractures.A systematic review and meta-analysis of the final outcome[J].Injury，2015，46（3）：459-466.
[13]	Lein T，Bula P，Jeffries J，et al.Fractures of the femoral neck[J].Acta Chir Orthop Traumatol Cech，2011，78（1）：10-19.
[14]	Wongwai T，Wajanavisit W，Woratanarat P.Non-union and avascular necrosis of delayed reduction and screw fixation in displaced femoral neck fracture in young adults[J].J Med Assoc Thai，2012，95（10）：120-127.
[15]	Grimes JP，Gregory PM，Noveck H，et al.The effects of time-to-surgery on mortality and morbidity in patients following hip fracture[J].Am J Med，2002，112（9）：702-709.
[16]	Mishra P，Dhaon BK，Jain P，et al.Delayed internal fixation of fractures of the neck of the femur in young adults.A prospective，randomised study comparing closed and open reduction[J].J Bone Joint Surg Br，2004，86（7）：1035-1040.
[17]	MajernAcek M，Dungl P，Kolman J，et al.Osteosynthesis of intracapsular femoral neck fractures by dynamic hip screw（DHS）fixation[J].Acta Chir Orthop Traumatol Cech，2009，76（4）：319-325.
[18]	Lo I，Woo SB，Chan WL，et al.Management of intracapsular femoral neck fractures in adults younger than 65 years[J].J Orthop，2011，15（2）：43-46.
[19]	秦明，高仕长，周华，等.7.5 mm QWIX 螺钉治疗股骨颈骨折的临床疗效[J].中华创伤杂志，2015，31（10）：925-930.
[20]	Stacey SC，Renninger CH，Hak D，et al.Tips and tricks for ORIF of displaced femoral neck fractures in the young adult patient[J].Eur J Orthop Surg Traumatol，2016，26（4）：355-363.
[21]	Forsh DA，Ferguson TA.Contemporary management of femoral neck fractures：the young and the old[J].Curr Rev Musculoskelet Med，2012，5（3）：214-221.
[22]	Hakim G，Volpin G.Surgical treatment of femoral neck fractures in young adults[J].Isr Med Assoc J，2015，17（6）：380-382.
[23]	Baumgaertner MR，Curtin SL，Lindskog DM，et al.The value of the tip-apex distance in predicting failure of fixation of peritrochanteric fractures of the hip[J].J Bone Joint Surg Br，1995，77（7）：1058-1064.
[24]	楼宇梁，洪建军，余可和，等.不同直径空心钉闭合复位内固定治疗股骨颈骨折疗效分析[J].中国骨伤，2015，28（9）：792-795.
[25]	王青，姜达君，贾伟涛.Pauwels 三型股骨颈骨折不同内固定方式的meta分析[J].上海交通大学学报（医学版），2018，38（9）：63-70.
[31]	张浩，史雪峰，杨春宝，等.三枚与四枚螺钉置入治疗Pauwels Ⅲ型股骨颈骨折的有限元分析[J].中国组织工程研究，2016，20（26）：3897-3902.
[26]	Kunapuli SC，Schramski MJ，Lee AS，et al.Biomechanical analysis of augmented plate fixation for the treatment of vertical shear femoral neck fractures[J].J Orthop Trauma，2015，29（3）：144-150.
[27]	Aminian A，Gao F，Fedoriw WW，et al.Vertically oriented femoral neck fractures：mechanical analysis of four fixation techniques[J].J Orthop Trauma，2007，21（8）：544-548.
[28]	Stoffel K，Zderic I，Gras F，et al.Biomechanical evaluation of the femoral neck system in unstable pauwels Ⅲfemoral neck fractures：A comparison with the dynamic hip screw and cannulated screws[J].J Orthop Trauma，2017，31（3）：131-137.
[29]	Li J，Zhao Z，Yin P，et al.Comparison of three different internal fixation implants in treatment of femoral neck fracture：a finite element analysis[J].J Orthop Surg Res，2019，14（1）：76.
[30]	Gumustas SA.Influence of number and orientation of screws on stability in the internal fixation of unstable femoral neck fractures[J].Acta Orthop Traumatol Turc，2014，48（6）：673-678.
[32]	李刚，黄品强，杨勇，等.闭合复位经皮4 枚空心钉内固定治疗Pauwels Ⅲ型年轻股骨颈骨折的临床研究[J].医学研究杂志，2017，46（9）：91-95，150.
[33]	陈志兵，王光林，林佳生，等.空心螺钉与动力髋螺钉加防旋螺钉治疗股骨颈骨折疗效比较[J].中国修复重建外科杂志，2011，25（1）：26-29.
[34]	Samsami S，Saberi S，Sadighi S，et al.Comparison of three fixation methods for femoral neck fracture in young adults：experimental and numerical investigations[J].J Med Biol Eng，2015，35（5）：566-579.
[35]	Freitas A，Torres GM，Souza AC，et al.Analysis on the mechanical resistance of fixation of femoral neck fractures in synthetic bone，using the dynamic hip system and an antirotation screw[J].Rev Bras Ortop，2014，49（6）：586-592.
[36]	Bonnaire FA，Weber AT.Analysis of fracture gap changes，dynamic and static stability of different osteosynthetic procedures in the femoral neck[J].Injury，2002，33（Suppl 3）：24-32.
[37]	Kunapuli SC，Schramski MJ，Lee AS，et al.Biomechanical analysis of augmented plate fixation for the treatment of vertical shear femoral neck fractures[J].J Orthop Trauma，2015，29（3）：144-150.
[38]	Li J，Yin P，Zhang L，et al.Medial anatomical buttress plate in treating displaced femoral neck fracture a finite element analysis[J].Injury，2019，50（11）：1895-1900.
[39]	Lin TY，Yang P，Xu JL，et al.Finite element analysis of different internal fixation methods for the treatment of Pauwels type Ⅲfemoral neck fracture[J].Biomed Pharmacother，2019，112：108.
[40]	Giordano V，Alves DD，Paes RP，et al.The role of the medial plate for Pauwels type Ⅲfemoral neck fracture：a comparative mechanical study using two fixations with cannulated screws[J].J Exp Orthop，2019，6（1）：18.
[41]	Ye Y，Chen K，Tian K，et al.Medial buttress plate augmentation of cannulated screw fixation in vertically unstable femoral neck fractures：Surgical technique and preliminary results[J].Injury，2017，48（10）：2189-2193.
[42]	Gotfried Y.Percutaneous compression plating of intertrochanteric hip fractures[J].J Orthop Trauma，2000，14（7）：490-495.
[43]	Brandt E，Verdonschot N，Vugt AV，et al.Biomechanical analysis of the percutaneous compression plate and sliding hip screw in intracapsular hip fractures：Experimental assessment using synthetic and cadaver bones[J].Injury，2006，37（10）：979-983.
[44]	Mukherjee P，Ashworth MJ.A new device to treat intra-capsular fracture neck of femur non-union[J].J Orthop Trauma，2010，5（3）：159-162.
[45]	朱锋，徐耀增，耿德春，等.经皮加压钢板治疗股骨颈骨折的早期疗效[J].中华创伤杂志，2014，30（9）：909-912.
[46]	朱锋，徐耀增，耿德春，等.经皮加压钢板与空心加压螺钉治疗中青年移位型股骨颈骨折的疗效比较[J].中华创伤骨科杂志，2014，16（8）：731-733.
[47]	Li YZ，Ye F，Wan L，et al.Treatment of Pauwels type Ⅲfemoral neck fractures with modified percutaneous compression plate[J].Zhongguo Gu Shang，2018，31（2）：120-123.
[48]	Ruecker AH，Rupprecht M，Gruber M，et al.The treatment of intertrochanteric fractures：results using an intramedullary nail with integrated cephalocervical screws and linear compression[J].J Orthop Trauma，2009，23（1）：22-30.
[49]	Rupprecht M，Grossterlinden L，Ruecker AH，et al.A comparative biomechanical analysis of fixation devices for unstable femoral neck fractures：the intertan versus cannulated screws or a dynamic hip screw[J].J Trauma，2011，71（3）：625-634.
[50]	Rupprecht M，Morlock M，Sellenschloh K，et al.Internal fixation of femoral neck fractures with posterior comminution：a biomechanical comparison of DHS（R）and Intertan nail（R）[J].Int Orthop，2011，35（11）：1695-1701.
[54]	Bhandari M，Devereaux PJ，Tornetta P，et al.Operative management of displaced femoral neck fractures in elderly patients：an international survey[J].J Bone Joint Surg Br，2005，87（9）：2122-2130.
[55]	Nikolopoulos KE，Papadakis SA，Kateros KT，et al.Longterm outcome of patients with avascular necrosis，after internal fixation of femoral neck fractures[J].Injury，2003，34（7）：525-528.
[56]	Wang T，Sun JY，Zha GC，et al.Analysis of risk factors for femoral head necrosis after internal fixation in femoral neck fractures[J].Orthopedics，2014，37（12）：e1117-e1123.
[57]	Haidukewych GJ，Rothwell WS，Jacofsky DJ，et al.Operative treatment of femoral neck fractures in patients between the ages of fifteen and fifty years[J].J Bone Joint Surg Br，2004，86（8）：1711-1716.
[63]	Magu NK，Singla R，Rohilla R，et al.Modified Pauwels′ intertrochanteric osteotomy in the management of nonunion of a femoral neck fracture following failed osteosynthesis[J].Bone Joint J，2014，96B（9）：1198-1201.