老年股骨粗隆间骨折治疗的进展
摘要
随着全球人口老龄化的加速,临床研究结果表明,老年人是股骨粗隆间骨折的高危人群。治疗措施在临床实践中被高度关注,主要包括保守和手术两种治疗方法。由于保守治疗周期较长,长时间卧床牵引可能引发各种全身性并发症,容易出现髋关节内旋内翻、肢体短缩、肌肉萎缩、畸形、关节僵硬挛缩等不良现象,老年患者在治疗期间由于需要长期卧床休养,容易产生泌尿系统疾病、褥疮、肺炎及下肢深静脉血栓等并发症[1],因此随着内固定器械的不断革新及手术技术的提高,越来越趋向于手术治疗,如果没有绝对手术禁忌证,手术是当前治疗股骨粗隆间骨折的首选方法。本文回顾了近年来我国老年股骨粗隆间骨折的治疗进展。
引文
[1]冯晓军.老年性股骨粗隆间骨折中西医治疗进展[J].内蒙古中医药,2017(16):138-139.
[2]Amiri HR,Safari S,Makarem J,et al.Comparison of combined femoral nerve block and spinal anesthesia with lumbar plexus block for postoperative analgesia in intertrochanteric fracture surgery[J].Anesth Pain Med,2012,2(1):32-35.
[3]Darwish FM,Haddad W.Intertrochanteric fracture under an arthrodesed hip[J].Am J Case Rep,2013,14:150-152.
[4]边平达,寿张轩,应奇峰,等.625例老人骨折情况的调查[J].中华骨质疏松和骨矿盐疾病杂志,2015(4):340-342.
[5]Xia Q.Application of proximal femur locking compression plate for unstable four part intertrochanteric fractures[J].China Medical Ab-stracts(Surgery),2011,2(11):108.
[6]Mikic Z.Index of Volume 20 of Orthopedic Journal of China[J].Chinese Journal of Orthopaedic Surgery,2012,24(12):2315-2322.
[7]孙道喜,周临东,王庚启,等.不稳定型骨质疏松性股骨粗隆间骨折的手术治疗进展[J].山东医药,2014,13(9):92-93,102.
[8]莫瑞冰,曹瑞治.高龄股骨粗隆间骨折的治疗进展[J].山西医药杂志,2014,43(3):282-285.
[9]Parker MJ,Handoll HH.Extramedullary fixation implants andexternal fixators for extracapsular hip fractures in adults[J].Cochrane Database Syst Rev,2006(1):CD000339.
[10]沈建辉,史峰军,李刚,等.不同手术方法治疗老年股骨粗隆间骨折的疗效比较[J].中国骨与关节损伤杂志,2013,28(4):314-316.
[11]Mansingh R,Jarris J,Web J,et al.Comparativeanalysis of the intraoperative and Periopera-tive outcome of DHS VSIMHS for hip frac-ture[J].J Bone Joint Surg Br,2009,91-B(Supp1):87-88.
[12]Adams CI,Robinson CM,Cour-Brown MM,etal.Prospective radomised contolled trial ofan intramed-ullary nail versus dynamicscrew and plate for intertrochan-teric frac-tures of the femour[J].J Orthop Tauma,2001,15(6):394-400.
[13]Mingo Robinet J,Torres M,MaGinez Cervell C.Cormparative study of the second and third generation of Gammanail for trochanteric fractures.Review of 218 cases[J].J Orthop Trauma,2014,30(24):173-174.
[14]刘成.GAMMA钉治疗股骨粗隆间骨折的研究[J].医学信息,2015,28(7):291-293.
[15]Yang Y H,Wang Y R,Jiang S D,et al.Proximal femoral nail antirotation and third-generation Gamma nail:which is a better device for the treatment of intertrochanteric fractures?[J].Singapore Med J,2013,54(8):446-450.
[16]丁洪,陈彦,何应英.动力髋螺钉与股骨近端髓内钉治疗老年股骨粗隆间骨折的疗效比较[J].检验医学与临床,2014,11(8):1032-1033.
[17]张立强,尚文昌.PFN在高能量股骨粗隆下骨折中的应用[J].中国医药导刊,2016,18(4):355-356.
[18]李凯,王雅.股骨粗隆间骨折的手术治疗进展[J].北方药学,2014,11(2):119-119.
[19]王耀阳,刘安平.股骨粗隆间骨折治疗方法的研究进展[J].中医药临床杂志,2012,24(5):473-475.
[20]张宇明,郝永壮,高刚,等.股骨粗隆间骨折内固定系统研究进展[J].实用骨科杂志,2014,20(3):243-246.
[21]Makki D,Matar H E,Jacob N,et al.Comparison of the reconstruction trochanteric antigrade nail(TAN)with the proximal femoral nail antirotation(PFNA)in the management of reverse oblique intertrochanteric hip fractures[J].Injury,2015,46(12):2389-2393.
[22]HUANG S G,CHEN B,ZHANG Y,et al.Comparison of the Clinical Effectiveness of PFNA,PFLCP,and DHS in Treatment of Unstable Intertrochanteric Femoral Fracture[J].Am J Ther,2017,24(6):e659-e666.
[23]Melih Güven,Onur Kocadal,Budak Akman,et al.Proximalfemoral nail shows better concordance of gait analysisbetween operated and uninjured limbs compared tohemiarthroplasty in intertrochanteric femoral fractures[J].Injury,2016,47(6):1325-1331.
[24]Ujjal Bhakat,Ranadeb Bandyopadhayay.Comparitive Studybetween Proximal Femoral Nailing and Dynamic HipScrew in Intertrochanteric Fracture of Femur[J].OpenJournal of Orthopedics,2013,3(7):291-295.
[25]Lee Y K,Ha Y C,Chang B K,et al.Cementhless bipolar hemi-arthroplasty using a hydroxyapatite-coated long stem for os-teoporotic unstable intertrochanteric fractures[J].J Arthr,2011,26(4):626-632.
[2]Amiri HR,Safari S,Makarem J,et al.Comparison of combined femoral nerve block and spinal anesthesia with lumbar plexus block for postoperative analgesia in intertrochanteric fracture surgery[J].Anesth Pain Med,2012,2(1):32-35.
[3]Darwish FM,Haddad W.Intertrochanteric fracture under an arthrodesed hip[J].Am J Case Rep,2013,14:150-152.
[4]边平达,寿张轩,应奇峰,等.625例老人骨折情况的调查[J].中华骨质疏松和骨矿盐疾病杂志,2015(4):340-342.
[5]Xia Q.Application of proximal femur locking compression plate for unstable four part intertrochanteric fractures[J].China Medical Ab-stracts(Surgery),2011,2(11):108.
[6]Mikic Z.Index of Volume 20 of Orthopedic Journal of China[J].Chinese Journal of Orthopaedic Surgery,2012,24(12):2315-2322.
[7]孙道喜,周临东,王庚启,等.不稳定型骨质疏松性股骨粗隆间骨折的手术治疗进展[J].山东医药,2014,13(9):92-93,102.
[8]莫瑞冰,曹瑞治.高龄股骨粗隆间骨折的治疗进展[J].山西医药杂志,2014,43(3):282-285.
[9]Parker MJ,Handoll HH.Extramedullary fixation implants andexternal fixators for extracapsular hip fractures in adults[J].Cochrane Database Syst Rev,2006(1):CD000339.
[10]沈建辉,史峰军,李刚,等.不同手术方法治疗老年股骨粗隆间骨折的疗效比较[J].中国骨与关节损伤杂志,2013,28(4):314-316.
[11]Mansingh R,Jarris J,Web J,et al.Comparativeanalysis of the intraoperative and Periopera-tive outcome of DHS VSIMHS for hip frac-ture[J].J Bone Joint Surg Br,2009,91-B(Supp1):87-88.
[12]Adams CI,Robinson CM,Cour-Brown MM,etal.Prospective radomised contolled trial ofan intramed-ullary nail versus dynamicscrew and plate for intertrochan-teric frac-tures of the femour[J].J Orthop Tauma,2001,15(6):394-400.
[13]Mingo Robinet J,Torres M,MaGinez Cervell C.Cormparative study of the second and third generation of Gammanail for trochanteric fractures.Review of 218 cases[J].J Orthop Trauma,2014,30(24):173-174.
[14]刘成.GAMMA钉治疗股骨粗隆间骨折的研究[J].医学信息,2015,28(7):291-293.
[15]Yang Y H,Wang Y R,Jiang S D,et al.Proximal femoral nail antirotation and third-generation Gamma nail:which is a better device for the treatment of intertrochanteric fractures?[J].Singapore Med J,2013,54(8):446-450.
[16]丁洪,陈彦,何应英.动力髋螺钉与股骨近端髓内钉治疗老年股骨粗隆间骨折的疗效比较[J].检验医学与临床,2014,11(8):1032-1033.
[17]张立强,尚文昌.PFN在高能量股骨粗隆下骨折中的应用[J].中国医药导刊,2016,18(4):355-356.
[18]李凯,王雅.股骨粗隆间骨折的手术治疗进展[J].北方药学,2014,11(2):119-119.
[19]王耀阳,刘安平.股骨粗隆间骨折治疗方法的研究进展[J].中医药临床杂志,2012,24(5):473-475.
[20]张宇明,郝永壮,高刚,等.股骨粗隆间骨折内固定系统研究进展[J].实用骨科杂志,2014,20(3):243-246.
[21]Makki D,Matar H E,Jacob N,et al.Comparison of the reconstruction trochanteric antigrade nail(TAN)with the proximal femoral nail antirotation(PFNA)in the management of reverse oblique intertrochanteric hip fractures[J].Injury,2015,46(12):2389-2393.
[22]HUANG S G,CHEN B,ZHANG Y,et al.Comparison of the Clinical Effectiveness of PFNA,PFLCP,and DHS in Treatment of Unstable Intertrochanteric Femoral Fracture[J].Am J Ther,2017,24(6):e659-e666.
[23]Melih Güven,Onur Kocadal,Budak Akman,et al.Proximalfemoral nail shows better concordance of gait analysisbetween operated and uninjured limbs compared tohemiarthroplasty in intertrochanteric femoral fractures[J].Injury,2016,47(6):1325-1331.
[24]Ujjal Bhakat,Ranadeb Bandyopadhayay.Comparitive Studybetween Proximal Femoral Nailing and Dynamic HipScrew in Intertrochanteric Fracture of Femur[J].OpenJournal of Orthopedics,2013,3(7):291-295.
[25]Lee Y K,Ha Y C,Chang B K,et al.Cementhless bipolar hemi-arthroplasty using a hydroxyapatite-coated long stem for os-teoporotic unstable intertrochanteric fractures[J].J Arthr,2011,26(4):626-632.