上海交通大学学报(医学版) ›› 2018, Vol. 38 ›› Issue (9): 1045-.doi: 10.3969/j.issn.1674-8115.2018.09.008

• 论著·临床研究 • 上一篇    下一篇

Pauwels三型股骨颈骨折不同内固定方式的 meta分析

王青,姜达君,贾伟涛   

  1. 上海交通大学附属第六人民医院骨科,上海 200233
  • 出版日期:2018-09-28 发布日期:2018-10-15
  • 通讯作者: 贾伟涛,电子信箱:wtjia1126@hotmail.com。
  • 作者简介:王青(1993—)女,硕士生;电子信箱: shiyingjiangdajun1@163.com。
  • 基金资助:
    国家自然科学基金面上项目( 81572105);上海市教育委员会高峰高原学科建设计划( 20172026);上海市人才发展基金( 2017035)

A meta-analysis of different internal fixation strategies of Pauwels Ⅲ femoral neck fractures

WANG Qing, JIANG Da-jun, JIA Wei-tao   

  1. Department of Orthopedic Surgery, Shanghai Sixth Peoples Hospital, Shanghai Jiao Tong University, Shanghai 200233, China
  • Online:2018-09-28 Published:2018-10-15
  • Supported by:
    National Natural Science Foundation of China, 81572105; Shanghai Municipal Education Commission—Gaofeng Clinical Medicine Support, 20172026; Shanghai Talents Development Fund, 2017035

摘要: 目的 ·系统评价空心钉( cannulated screw,CS)与滑动髋螺钉( sliding hip screw,SHS)固定 Pauwels三型股骨颈骨折的疗效和功能恢复情况。方法 ·计算机检索三大英文数据库 PubMed、Embase、Cochrane,及中文数据库 CNKI、Sinomed,使用 Revman 5.26软件对纳入文献进行 meta分析。结果 ·最终选出 6篇临床研究,共包含病例 350例,其中 CS固定组 213例,SHS固定组 137例。通过分析得出, SHS固定术后骨不连率显著低于 CS固定,但是 CS固定手术时间更短。结论 ·对于 Pauwels三型股骨颈骨折, SHS可以显著减少术后骨不连的发生,但是手术过程相对复杂,并存在术中出血量大、术后功能评分低的趋势。

关键词: 股骨颈骨折, Pauwels三型, 空心钉, 滑动髋螺钉, meta分析

Abstract: Objective · To compare the clinical and functional outcomes of cannulated screw (CS) with sliding hip screw (SHS) in the fixation of Pauwels Ⅲ femoral neck fractures systematically. Methods · In the meta-analysis, articles were searched Pubmed database, Embase database, Cochrane library, CNKI database, and Sinomed database. The selected articles were analyzedRevman 5.26 software. Results · Six clinical studies met the inclusion criteria. A total of 350 patients including 213 with CS fixations and 137 with SHS fixations were pooled in the meta-analysis. The results showed that the non-rate in SHS group was significantly lower than that in CS group. However, the surgery time was significantly shorter in CS group. Conclusion · SHS fixation has the advantage of reducing postoperative non-rate in Pauwels Ⅲ femoral neck fractures, but the operative process is relatively complicated, which seemingly causes more blood loss during surgery, and may lead to a less satisfactory functional recovery.

Key words: femoral neck fracture, Pauwels Ⅲ , cannulated screws, sliding hip screws, meta analysis

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