›› 2018, Vol. 38 ›› Issue (9): 1045-.doi: 10.3969/j.issn.1674-8115.2018.09.008

• Original article (Clinical research) • Previous Articles     Next Articles

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

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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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