老年患者股骨粗隆间骨折的手术治疗
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摘要
股骨粗隆间骨折是老年患者常见的骨折形式之一,由于人口的高龄化,骨质疏松的患者越来越多,这些老年患者常在低能量的暴力下就导致股骨粗隆间的骨折。当下医疗条件和技术的发展,使得很多老年患者在骨折术后有很好的生活质量,骨折后存活率也明显上升,因此越来越多的国内外医护人员关注老年患者的粗隆间骨折以及骨折的治疗方案,并推动关于治疗老年患者粗隆间骨折的医疗技术不断向前发展。本文将几年来国内及国外对于股骨粗隆间骨折手术治疗的研究进展进行综述。
Intertrochanteric fracture is one of the common forms of fracture in elderly patients. Because of the aging of the population, number of osteoporosis is increasing. The fracture of the femur happens in these elderly patients in the low energy violence. The development of the current medical conditions and technology insures a lot of elderly patients good quality of life in postoperative fracture. Fracture survival rate also increases significantly so the domestic and foreign medical personnel pay more and more attention to the intertrochanteric fracture of elderly patients and treatment of fractures,which pushes the continuous development of medical technology in treating intertrochanteric fracture for elderly patients. In this article,the research progress in treating intertrochanteric fracture of femur in domestic and abroad in recent years is reviewed.
Intertrochanteric fracture is one of the common forms of fracture in elderly patients. Because of the aging of the population, number of osteoporosis is increasing. The fracture of the femur happens in these elderly patients in the low energy violence. The development of the current medical conditions and technology insures a lot of elderly patients good quality of life in postoperative fracture. Fracture survival rate also increases significantly so the domestic and foreign medical personnel pay more and more attention to the intertrochanteric fracture of elderly patients and treatment of fractures,which pushes the continuous development of medical technology in treating intertrochanteric fracture for elderly patients. In this article,the research progress in treating intertrochanteric fracture of femur in domestic and abroad in recent years is reviewed.
引文
[1]CHALISE P K,MISHRA A K,SHAH S B,et al.Outcome of pertrochantric fracture of the femur treated with proximal femoral locking compression plate[J].Nepal Medical College Journal Nmcj,2012,14(4):324.
[2]李光旭,杨明贵,马健,等.PFLCP与PFNA治疗股骨粗隆间骨折的临床疗效比较[J].实用骨科杂志,2012,18(8):692-695.
[3]IMERCI A,CANBEK U,KARATOSUN V.Nailing or plating for subtrochanteric femoral fractures:a non-randomized comparative study[J].European Journal of Orthopaedic Surgery&Traumatology,2015,25(5):889-894.
[4]SAHIN E K,IMERCI A,KINIK H,et al.Comparison of proximal femoral nail antirotation(PFNA)with AO dynamic condylar screws(DCS)for the treatment for unstable peritrochanteric femoral fractures[J].European Journal of Orthopaedic Surgery&Traumatology,2014,24(3):347-352.
[5]MA K L,WANG X,LUAN F J,et al.Proximal femoral nails antirotation,Gamma nails,and dynamic hip screws for fixation of intertrochanteric fractures of femur:A meta-analysis[J].Orthop Traumatol Surg Res,2014,100(8):859-866.
[6]尹乾兵,殷勇.PFNA治疗股骨粗隆间骨折失效的原因浅析[J].实用骨科杂志,2015,22(5):456-459.
[7]连俊锋,邓志荣,杨乐.老年股骨粗隆间骨折PFNA和PFN内固定疗效比较[J].中国骨科临床与基础研究杂志,2016,8(5):298-303.
[8]ZHANG K,ZHANG S,YANG J,et al.Proximal Femoral Nail vs.Dynamic Hip Screw in Treatment of Intertrochanteric Fractures:AMeta-Analysis[J].Medical Science Monitor International Medical Journal of Experimental&Clinical Research,2014,20(18):1628-1633.
[9]ZIRNGIBL B,BIBER R,BAIL H J.How to prevent cutout and cut-through in biaxial proximal femoral nails:is there anything beyond lag screw positioning and tip-apex distance?[J].International Orthopaedics,2013,37(7):1363-1368.
[10]B KANTHIMATHI,D ORTH,VL NARAYANAN,et al.Early Complications in Proximal Femoral Nailing Done for Treatment of Subtrochanteric Fractures.Malaysian Orthopaedic Journal,2012Vol 6 No 1.
[11]张斌.股骨近端防旋髓内钉和Gamma3钉治疗老年股骨转子间骨折的疗效比较[J].临床骨科杂志,2016,19(5):589-590.
[12]MOUHCINE S,ADIL E A,MOHAMMED A,et al.Intertrochanteric fracture non-unions with implant failure of the gamma nail:[J].Pan African Medical Journal,2016,23.
[13]Wu H F,Lai K A,Huang M T,et al.The Biomechanics Analysis for Dynamic Hip Screw on Osteoporotic and Unstable Femoral Fracture[J].2011,35:225-228.
[14]CHANG C W,CHEN Y N,LI C T,et al.Role of the compression screw in the dynamic hip-screw system:A finite-element study[J].Medical Engineering&Physics,2015,37(12):1174-1179.
[15]ZHOU Z,XIONG J,JIANG N,et al.[Analysis of the treatment failures for intertrochanteric fractures with dynamic hip screw(DHS)][J].China Journal of Orthopaedics and Traumatology,2010,23(5):340.
[16]ZHANG C,WANG P J,RUAN D K,et al.[Complications of surgical treatment for femoral intertrochanteric fractures using dynamic hip screw][J].Zhongguo Gu Shang,2009,22(8):624-626.
[17]王云,王志荣,史晓鹏,等.PFNA微创治疗老年股骨粗隆间骨折的疗效评价[J].实用临床医药杂志,2010,14(11):37-38.
[18]Kim J W,Oh C W,Byun Y S,et al.A biomechanical analysis of locking plate fixation with minimally invasive plate osteosynthesis in a subtrochanteric fracture model[J].Journal of Trauma,2011,70(1):19-23.
[19]李意,李新志.股骨粗隆间骨折内固定手术治疗的研究进展[J].重庆医学,2013,42(10):1172-1175.
[20]李西成,焦振清,潘进社,等.小切口动力髁螺钉内固定治疗老年股骨逆转子间骨折[J].中华创伤骨科杂志,2008,10(8):789-790.
[21]ZHA G C,CHEN Z L,QI X B,et al.Treatment of pertrochanteric fractures with a proximal femur locking compression plate.[J].Injury-international Journal of the Care of the Injured,2011,42(11):1294-1299.
[22]冯博.微创动力髋螺钉内固定术治疗股骨粗隆间骨折患者的临床疗效[J].中国药物经济学,2016,11(2):94-96.
[23]ACAR N,HARB A,ALBAYA A,et al.The clinical results of a novel method for minimal invasive dynamic hip screw fixation of intertrochanteric fractures compared to the conventional one.[J].European Journal of Trauma&Emergency Surgery,2016:1-9.
[24]张勇华,张明胜,艾昌淼,等.小切口髋关节置换术治疗高龄股骨粗隆间骨折[J].实用骨科杂志,2014,21(5):439-441.
[25]马健,杨明贵,段政,等.股骨近端锁定钢板、PFNA和人工髋关节置换术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(8):762-763.
[26]沈宁江,宋世锋,王广积,等.不同手术方法治疗老年股骨粗隆间骨折疗效分析[J].中国骨与关节损伤杂志,2013,28(10):914.
[27]聂治军,常彦海.加长柄人工股骨头置换治疗高龄不稳定型股骨转子间骨折[J].临床骨科杂志,2016,19(5):586-588.
[28]陈校明,刘忠,唐新桥,等.生物型加长柄髋关节置换治疗高龄不稳定型股骨转子间骨折[J].临床骨科杂志,2016,19(5):565-566.
[2]李光旭,杨明贵,马健,等.PFLCP与PFNA治疗股骨粗隆间骨折的临床疗效比较[J].实用骨科杂志,2012,18(8):692-695.
[3]IMERCI A,CANBEK U,KARATOSUN V.Nailing or plating for subtrochanteric femoral fractures:a non-randomized comparative study[J].European Journal of Orthopaedic Surgery&Traumatology,2015,25(5):889-894.
[4]SAHIN E K,IMERCI A,KINIK H,et al.Comparison of proximal femoral nail antirotation(PFNA)with AO dynamic condylar screws(DCS)for the treatment for unstable peritrochanteric femoral fractures[J].European Journal of Orthopaedic Surgery&Traumatology,2014,24(3):347-352.
[5]MA K L,WANG X,LUAN F J,et al.Proximal femoral nails antirotation,Gamma nails,and dynamic hip screws for fixation of intertrochanteric fractures of femur:A meta-analysis[J].Orthop Traumatol Surg Res,2014,100(8):859-866.
[6]尹乾兵,殷勇.PFNA治疗股骨粗隆间骨折失效的原因浅析[J].实用骨科杂志,2015,22(5):456-459.
[7]连俊锋,邓志荣,杨乐.老年股骨粗隆间骨折PFNA和PFN内固定疗效比较[J].中国骨科临床与基础研究杂志,2016,8(5):298-303.
[8]ZHANG K,ZHANG S,YANG J,et al.Proximal Femoral Nail vs.Dynamic Hip Screw in Treatment of Intertrochanteric Fractures:AMeta-Analysis[J].Medical Science Monitor International Medical Journal of Experimental&Clinical Research,2014,20(18):1628-1633.
[9]ZIRNGIBL B,BIBER R,BAIL H J.How to prevent cutout and cut-through in biaxial proximal femoral nails:is there anything beyond lag screw positioning and tip-apex distance?[J].International Orthopaedics,2013,37(7):1363-1368.
[10]B KANTHIMATHI,D ORTH,VL NARAYANAN,et al.Early Complications in Proximal Femoral Nailing Done for Treatment of Subtrochanteric Fractures.Malaysian Orthopaedic Journal,2012Vol 6 No 1.
[11]张斌.股骨近端防旋髓内钉和Gamma3钉治疗老年股骨转子间骨折的疗效比较[J].临床骨科杂志,2016,19(5):589-590.
[12]MOUHCINE S,ADIL E A,MOHAMMED A,et al.Intertrochanteric fracture non-unions with implant failure of the gamma nail:[J].Pan African Medical Journal,2016,23.
[13]Wu H F,Lai K A,Huang M T,et al.The Biomechanics Analysis for Dynamic Hip Screw on Osteoporotic and Unstable Femoral Fracture[J].2011,35:225-228.
[14]CHANG C W,CHEN Y N,LI C T,et al.Role of the compression screw in the dynamic hip-screw system:A finite-element study[J].Medical Engineering&Physics,2015,37(12):1174-1179.
[15]ZHOU Z,XIONG J,JIANG N,et al.[Analysis of the treatment failures for intertrochanteric fractures with dynamic hip screw(DHS)][J].China Journal of Orthopaedics and Traumatology,2010,23(5):340.
[16]ZHANG C,WANG P J,RUAN D K,et al.[Complications of surgical treatment for femoral intertrochanteric fractures using dynamic hip screw][J].Zhongguo Gu Shang,2009,22(8):624-626.
[17]王云,王志荣,史晓鹏,等.PFNA微创治疗老年股骨粗隆间骨折的疗效评价[J].实用临床医药杂志,2010,14(11):37-38.
[18]Kim J W,Oh C W,Byun Y S,et al.A biomechanical analysis of locking plate fixation with minimally invasive plate osteosynthesis in a subtrochanteric fracture model[J].Journal of Trauma,2011,70(1):19-23.
[19]李意,李新志.股骨粗隆间骨折内固定手术治疗的研究进展[J].重庆医学,2013,42(10):1172-1175.
[20]李西成,焦振清,潘进社,等.小切口动力髁螺钉内固定治疗老年股骨逆转子间骨折[J].中华创伤骨科杂志,2008,10(8):789-790.
[21]ZHA G C,CHEN Z L,QI X B,et al.Treatment of pertrochanteric fractures with a proximal femur locking compression plate.[J].Injury-international Journal of the Care of the Injured,2011,42(11):1294-1299.
[22]冯博.微创动力髋螺钉内固定术治疗股骨粗隆间骨折患者的临床疗效[J].中国药物经济学,2016,11(2):94-96.
[23]ACAR N,HARB A,ALBAYA A,et al.The clinical results of a novel method for minimal invasive dynamic hip screw fixation of intertrochanteric fractures compared to the conventional one.[J].European Journal of Trauma&Emergency Surgery,2016:1-9.
[24]张勇华,张明胜,艾昌淼,等.小切口髋关节置换术治疗高龄股骨粗隆间骨折[J].实用骨科杂志,2014,21(5):439-441.
[25]马健,杨明贵,段政,等.股骨近端锁定钢板、PFNA和人工髋关节置换术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(8):762-763.
[26]沈宁江,宋世锋,王广积,等.不同手术方法治疗老年股骨粗隆间骨折疗效分析[J].中国骨与关节损伤杂志,2013,28(10):914.
[27]聂治军,常彦海.加长柄人工股骨头置换治疗高龄不稳定型股骨转子间骨折[J].临床骨科杂志,2016,19(5):586-588.
[28]陈校明,刘忠,唐新桥,等.生物型加长柄髋关节置换治疗高龄不稳定型股骨转子间骨折[J].临床骨科杂志,2016,19(5):565-566.