上海交通大学学报（医学版）

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

PDF (PC)

785

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

中图分类号: