|本期目录/Table of Contents|

[1]庞新岗,李海峰.青壮年Pauwels 3型股骨颈骨折治疗的研究进展[J].医学研究与战创伤救治(原医学研究生学报),2021,23(6):647-650.[doi:10.3969/j.issn.1672-271X.2021.06.019]
　PANG Xin-gang,LI Hai-feng.Research progress intreatment of Pauwels type 3 femoral neck fracture in young adults[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2021,23(6):647-650.[doi:10.3969/j.issn.1672-271X.2021.06.019]
点击复制

青壮年Pauwels 3型股骨颈骨折治疗的研究进展()
分享到62.8K

《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第23卷
期数:
2021年6期
页码:
647-650
栏目:
综述
出版日期:
2021-12-15

文章信息/Info

Title:
Research progress intreatment of Pauwels type 3 femoral neck fracture in young adults
作者:
庞新岗;  李海峰
作者单位：214000 无锡，苏州大学附属无锡九院（无锡市第九人民 医院）骨科(庞新岗、李海峰)
Author(s):
PANG Xin-gang ;  LI Hai-feng
（Department of Orthopedics, Wuxi Ninth People’s Hospital, School of Medicine, Soochow University, Wuxi 214000, Jiangsu, China）
关键词:
股骨颈骨折; Pauwels 3型; 青壮年; 内固定
Keywords:
femoral neck fractures;  Pauwels type 3;  young adults;  internal fixation
分类号:
R687.3
DOI:
10.3969/j.issn.1672-271X.2021.06.019
文献标志码:
A
摘要:
股骨颈骨折是临床常见的骨折，具有发病率高，死亡率高，并发症发生率高和再手术率高的特点。青壮年 Pauwels 3型股骨颈骨折多继发于高能损伤，断端剪切力大，传统闭合复位空心钉内固定手术失败率高。为改善预后 ，更多的固定方式，包括不同构型的多根空心钉，空心钉联合内侧支撑钢板，动力髋螺钉以及以此为基础的改良产 品被设计并应用于临床。同时，微创切开复位因其更好的复位效果也为更多术者所接受。文章就近年Pauwels 3型股 骨颈骨折内固定治疗的进展进行综述。
Abstract:
Femoral neck fractures are common clinical fractures, with the high morbidity, mortality, incidence of complications and rate of reoperation. Pauwels type 3 femoral neck fractures among young adults, which are typically caused by high-energy trauma and involve a high shear load at the fracture site, are difficult to be successfully treated with closed reduction and traditional cannulated screws. To improve the prognosis, more internal fixation devices, including the different configuration of cannulated screws, cannulated screws combined medial buttress plate, dynamic hip screw and other refinements have been designed and applied to clinical therapy. At the same time, minimally invasive open reduction has been also accepted by more surgeons because of its satisfactory restoration effect. In this review, we summarize the recent papers about the therapies of Pauwels type 3 femoral neck fracture in young patients, and new viewpoints about the treatment of this fracture pattern appropriately.

参考文献/References:

[1]Ye Y, Hao J, Mauffrey C, et al. Optimizing Stability in Femoral Neck Fracture Fixation[J]. Orthopedics, 2015,38(10):625-630.
[2]Cha YH, Yoo JI, Hwang SY, et al. Biomechanical Evaluation of Internal Fixation of Pauwels Type III Femoral Neck Fractures: A Systematic Review of Various Fixation Methods[J]. Clin Orthop Surg, 2019,11(1):1-14.
[3]王子华, 邱兴, 赵德伟. 基于三维重建的股骨头支持带血管的显微外科定位研究及临床意义[J]. 中国美容整形 外科杂志, 2020,31(3):171-174.
[4]Putnam SM, Collinge CA, Gardner MJ, et al. Vascular Anatomy of the Medial Femoral Neck and Implications for Surface Plate Fixation[J]. J Orthop Trauma, 2019,33(3):111-115.
[5]祝晓忠, 梅炯, 倪明, 等. 股骨近端骨小梁结构的大体解剖和影像重建分析[J]. 中国修复重建外科杂志, 2019,33(10):1254-1259.
[6]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.
[7]刘冰川, 孙川, 邢永, 等. 中青年股骨颈骨折内固定术后发生缺血性股骨头坏死的相关因素[J]. 北京大学学报( 医学版), 2020,52(2):290-297.
[8]Min BW, Kim SJ. Avascular necrosis of the femoral head after osteosynthesis of femoral neck fracture[J]. Orthopedics, 2011,34(5):349.
[9]Wang G, Tang Y, Wang B, et al. Minimally invasive open reduction combined with proximal femoral hollow locking plate in the treatment of Pauwels type III femoral neck fracture[J]. J Int Med Res, 2019,47(7):3050-3060.
[10]Mei J, Ni M, Wang G, et al. Number and distribution of nutrient foramina within the femoral neck and their relationship to the retinacula of Weitbrecht: an anatomical study[J]. Anat Sci Int, 2017,92(1):91-97.
[11]马志军, 吴双, 王景贵, 等. 微创切开复位结合股骨近端空心锁定钢板治疗Pauwels Ⅲ型股骨颈骨折的疗效分 析[J]. 创伤外科杂志, 2021,23(1):41-44.
[12]Liu C, Liu MT, Li P, et al. Efficacy evaluation for the treatment of subcapital femoral neck fracture in young adults by capsulotomy reduction and closed reduction[J]. Chin Med J (Engl), 2015,128(4):483-488.
[13]Wang XD, Lan H, Li KN. Treatment of Femoral Neck Fractures with Cannulated Screw Invasive Internal Fixation Assisted by Orthopaedic Surgery Robot Positioning System[J]. Orthop Surg, 2019,11 (5):864-872.
[14]Dong Q, Han Z, Zhang YG, et al. Comparison of Transverse Cancellous Lag Screw and Ordinary Cannulated Screw Fixations in Treatment of Vertical Femoral Neck Fractures[J]. Orthop Surg, 2019,11 (4):595-603.
[15]梁会, 何小健, 陈农, 等. Pauwels Ⅱ型后侧壁粉碎股骨颈骨折不同构型空心钉内固定的生物力学比较[J]. 中 国骨与关节损伤杂志, 2018,33(10):1013-1016.
[16]王颖, 刘志朋, 殷涛, 等. 利用有限元探究内固定治疗股骨颈骨折的生物力学研究[J]. 中国中西医结合外科杂 志, 2019,25(1):56-61.
[17]Zhang YQ, Chang SM, Huang YG, et al. The femoral neck safe zone: a radiographic simulation study to prevent cortical perforation with multiple screw insertion[J]. J Orthop Trauma, 2015,29(5):e178- e182.
[18]王子凡, 缪佳庆. 空心钉F形内固定骨质疏松性Pauwels Ⅱ型股骨颈骨折的体外生物力学研究[J]. 中国骨与关 节损伤杂志, 2020,35(2):153-155.
[19]Galal S, Nagy M. Non-parallel screw fixation for femoral neck fractures in young adults[J]. J Clin Orthop Trauma, 2017,8(3):220-224.
[20]Guimaraes J, Rocha LR, Noronha RT, et al. Vertical femoral neck fractures in young adults: a closed fixation strategy using a transverse cancellous lag screw[J]. Injury, 2017,48（Suppl 4）:S10- S16.
[21]焦健, 郝跃峰, 司卫兵, 等. 微创Cross螺钉内固定技术治疗青壮年垂直剪切型股骨颈骨折的疗效观察[J]. 中 国骨与关节损伤杂志, 2019,34(12):1233-1236.
[22]Dong Q, Han Z, Zhang YG, et al. Comparison of Transverse Cancellous Lag Screw and Ordinary Cannulated Screw Fixations in Treatment of Vertical Femoral Neck Fractures[J]. Orthop Surg, 2019,11 (4):595-603.
[23]Gumustas SA, Tosun HB, Agir I, et al. 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.
[24]Giordano V, Alves DD, Paes RP, et al. The role of the medial plate for Pauwels type III femoral neck fracture: a comparative mechanical study using two fixations with cannulated screws[J]. J Exp Orthop, 2019,6(1):18.
[25]Mir H, Collinge C. Application of a medial buttress plate may prevent many treatment failures seen after fixation of vertical femoral neck fractures in young adults[J]. Med Hypotheses, 2015,84 (5):429-433.
[26]Luttrell K, Beltran M, Collinge CA. Preoperative decision making in the treatment of high-angle "vertical" femoral neck fractures in young adult patients. An expert opinion survey of the Orthopaedic Trauma Association’s (OTA) membership[J]. J Orthop Trauma, 2014,28(9):e221-e225.
[27]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 anti-rotation screw[J]. Rev Bras Ortop, 2014,49(6):586-592.
[28]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 Orthop Traumatol Turc, 2017,51 (5):381-387.
[29]Yin Q, Gu S, Wang J, et al. Prospective randomized controlled study on treatment of displaced femoral neck fractures with percutaneous compression plate[J]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi, 2016,30(8):951-955.
[30]范智荣, 苏海涛, 周霖, 等. 新型股骨颈内固定系统治疗不稳定性股骨颈骨折的有限元分析[J]. 中国组织工程 研究, 2021,25(15):2321-2328.
[31]Stoffel K, Zderic I, Gras F, et al. Biomechanical Evaluation of the Femoral Neck System in Unstable Pauwels III Femoral Neck Fractures: A Comparison with the Dynamic Hip Screw and Cannulated Screws[J]. J Orthop Trauma, 2017,31(3):131-137.
[32]Chen H, Li J, Chang Z, et al. Treatment of femoral neck nonunion with a new fixation construct through the Watson-Jones approach[J]. J Orthop Translat, 2019,19:126-132.

相似文献/References:

[1]郑晓飞,刘国印,蒋逸秋,等.血清营养学指标与全髋关节置换术失血的相关研究[J].医学研究与战创伤救治(原医学研究生学报),2016,18(05):475.[doi:10.3969/j.issn.1672-271X.2016.05.008]
　ZHENG Xiao-fei,LIU Guo-yin,JIANG Yi-qiu,et al.The correlational study between hidden blood loss and serological examinations[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2016,18(6):475.[doi:10.3969/j.issn.1672-271X.2016.05.008]

备注/Memo

备注/Memo:
-
更新日期/Last Update: 2021-12-15