Original article (Clinical research)

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

  • WANG Qing ,
  • JIANG Da-jun ,
  • JIA Wei-tao
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  • Department of Orthopedic Surgery, Shanghai Sixth Peoples Hospital, Shanghai Jiao Tong University, Shanghai 200233, China

Online 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

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.

Cite this article

WANG Qing , JIANG Da-jun , JIA Wei-tao . A meta-analysis of different internal fixation strategies of Pauwels Ⅲ femoral neck fractures[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2018 , 38(9) : 1045 . DOI: 10.3969/j.issn.1674-8115.2018.09.008

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