股骨颈骨折内固定术后并发症研究进展

doi:10.3760/cma.j.issn.1007-1245.2024.18.001

国际医药卫生导报 ›› 2024, Vol. 30 ›› Issue (18): 2993-2997.DOI: 10.3760/cma.j.issn.1007-1245.2024.18.001

• 骨与关节专栏 • 下一篇

股骨颈骨折内固定术后并发症研究进展

齐瑞逢周楠马明亮杜刚强耿泽月王志刚

滨州医学院附属医院创伤骨科，滨州　256603

收稿日期:2024-04-22 出版日期:2024-09-15 发布日期:2024-09-23
通讯作者: 王志刚，Email：wangzghn@163.com
基金资助:
山东省医药卫生科技发展计划（2017WS229、202004070551）；滨州医学院科研计划与科研启动基金（BY2019KJ31）

Research progress on complications after internal fixation of femoral neck fracture

Qi Ruifeng, Zhou Nan, Ma Mingliang, Du Gangqiang, Geng Zeyue, Wang Zhigang

Department of Orthopaedic and Traumatology, Binzhou Medical University Hospital, Binzhou 256603, China

Received:2024-04-22 Online:2024-09-15 Published:2024-09-23
Contact: Wang Zhigang, Email: wangzghn@163.com
Supported by:
Shandong Medical and Health Science and Technology Development Program (2017WS229, 202004070551); Research Plan and Research Start-up Fund of Binzhou Medical University (BY2019KJ31)

摘要/Abstract

摘要：

目前，对于65岁以下的股骨颈骨折患者一般采用内固定的方式进行治疗。有研究发现，股骨颈骨折患者采用内固定治疗后存在多种并发症，影响患者预后。为进一步了解股骨颈骨折内固定术后并发症的类型及危险因素，本文对相关文献进行综合分析，旨在总结其发生因素及类型，尽可能避免或减少相关术后并发症的发生，并合理判断其预后。

关键词:

股骨颈骨折, 内固定, 术后并发症, 影响因素, 进展

Abstract:

At present, patients with femoral neck fracture under 65 years old are generally treated with internal fixation. Studies have shown several difficulties associated with the gradual advancement of internal fixation, and these complications can affect the patients' prognosis following internal fixation. This paper summarizes the risk factors and categories of postoperative complications of internal fixation reported in literatures to get more insight into the types of issues and potential risks associated with internal fixation of femoral neck fracture. The goal of the study is to prevent or minimize the incidence of postoperative complications as much as possible, and reasonably judge its prognosis.

Key words:

Femoral neck fracture, Internal fixation, Postoperative complications, Influence factors, Progress

齐瑞逢周楠马明亮杜刚强耿泽月王志刚.

股骨颈骨折内固定术后并发症研究进展 [J]. 国际医药卫生导报, 2024, 30(18): 2993-2997.

Qi Ruifeng, Zhou Nan, Ma Mingliang, Du Gangqiang, Geng Zeyue, Wang Zhigang.

Research progress on complications after internal fixation of femoral neck fracture [J]. International Medicine and Health Guidance News, 2024, 30(18): 2993-2997.

参考文献

[1] Ye CY, Liu A, Xu MY, et al. Arthroplasty versus internal fixation for displaced intracapsular femoral neck fracture in the elderly: systematic review and meta-analysis of short- and long-term effectiveness[J]. Chin Med J (Engl), 2016, 129(21):2630-2638. DOI: 10.4103/0366-6999. 192788.
[2] Liang W, Qin G, Yu L, et al. Reducing complications of femoral neck fracture management: a retrospective study on the application of multidisciplinary team[J]. BMC Musculoskelet Disord, 2023, 24(1):338. DOI:10.1186/s12891-023-06455-1.
[3] 彭良贞,张凤海. F形空心钉固定与传统平行钉固定治疗股骨颈骨折患者的效果比较[J]. 国际医药卫生导报,2024,30(7):1142-1146. DOI:10.3760/cma.j.issn.1007-1245. 2024.07.017.
[4] Ramadanov N, Toma I, Herkner H, et al. Factors that influence the complications and outcomes of femoral neck fractures treated by cannulated screw fixation[J]. Sci Rep, 2020, 10(1):758. DOI:10.1038/s41598-020-57696-2.
[5] Xu JL, Liang ZR, Xiong BL, et al. Risk factors associated with osteonecrosis of femoral head after internal fixation of femoral neck fracture:a systematic review and meta-analysis[J]. BMC Musculoskelet Disord, 2019, 20(1):632. DOI:10.1186/s12891-019-2990-5.
[6] Bachiller FG, Caballer AP, Portal LF. Avascular necrosis of the femoral head after femoral neck fracture[J]. Clin Orthop Relat Res, 2002(399):87-109. DOI: 10.1097/00003086-200206000-00012.
[7] Damany DS, Parker MJ, Chojnowski A. Complications after intracapsular hip fractures in young adults. a meta-analysis of 18 published studies involving 564 fractures[J]. Injury, 2005, 36(1):131-141. DOI:10.1016/j.injury.2004.05.023.
[8] Claffey TJ. Avascular necrosis of the femoral head. an anatomical study[J]. J Bone Joint Surg Br,1960, 42-B:802-809. DOI:10.1302/0301-620X.42B4.802.
[9] Calandruccio RA, Anderson WE. Post-fracture avascular necrosis of the femoral head: correlation of experimental and clinical studies[J]. Clin Orthop Relat Res,1980(152):49-84.
[10] Lin G, Yang D, Sui W. Clinical effect of open reduction and internal fixation for femoral neck fracture in young adults and related factors of femoral head necrosis [J]. J Environ Public Health, 2022,2022:2974830. DOI:10.1155/2022/2974830.
[11] Pei F, Zhao R, Li F, et al. Osteonecrosis of femoral head in young patients with femoral neck fracture: a retrospective study of 250 patients followed for average of 7.5 years[J]. J Orthop Surg Res, 2020,15(1):238. DOI:10.1186/s13018-020-01724-4.
[12] Zhao G, Liu M, Li B, et al. Clinical observation and finite element analysis of cannulated screw internal fixation in the treatment of femoral neck fracture based on different reduction quality[J]. J Orthop Surg Res, 2021,16(1):450. DOI:10.1186/s13018-021-02580-6.
[13] Li H, Chen H, She R, et al. Clinical observation of Gofried positive buttress reduction in the treatment of young femoral neck fracture: a systematic review and meta-analysis[J]. Medicine (Baltimore), 2023,102(48):e36424. DOI:10.1097/MD.0000000000036424.
[14] Wongwai T, Wajanavisit W, Woratanarat P. Non-union and avascular necrosis of delayed reduction and screw fixation in displaced femoral neck fracture in young adults[J]. J Med Assoc Thai, 2012,95 Suppl 10:S120-S127.
[15] Raaymakers EL, Marti RK. Nonunion of the femoral neck: possibilities and limitations of the various treatment modalities[J]. Indian J Orthop, 2008,42(1):13-21. DOI:10.4103/0019-5413.38575.
[16] Razik F, Alexopoulos AS, El-Osta B, et al. Time to internal fixation of femoral neck fractures in patients under sixty years--does this matter in the development of osteonecrosis of femoral head? [J]. Int Orthop, 2012,36(10):2127-2132. DOI:10.1007/s00264-012-1619-1.
[17] Ai ZS, Gao YS, Sun Y, et al. Logistic regression analysis of factors associated with avascular necrosis of the femoral head following femoral neck fractures in middle-aged and elderly patients[J]. J Orthop Sci, 2013,18(2):271-276. DOI:10.1007/s00776-012-0331-8.
[18] Augat P, Bliven E, Hackl S. Biomechanics of femoral neck fractures and implications for fixation[J]. J Orthop Trauma, 2019,33 Suppl 1:S27-S32. DOI:10.1097/BOT.0000000000001365.
[19] Ju FX, Tang LF, Wang JF, et al. Age is not the most important factor in the prognosis of femoral neck fracture: an analysis of long-term clinical follow-up[J]. Altern Ther Health Med, 2023,29(6):430-435.
[20] Wang G, Wang B, Wu X, et al. Gotfried positive reduction promotes the repair of femoral neck fracture potentially via enhancing osteogenesis and angiogenesis[J]. Biomed Pharmacother, 2020,123:109801. DOI:10.1016/j.biopha.2019.109801.
[21] Zhang YL, Chen S, Ai ZS, et al. Osteonecrosis of the femoral head, nonunion and potential risk factors in Pauwels grade-3 femoral neck fractures: a retrospective cohort study [J]. Medicine (Baltimore), 2016,95(24):e3706. DOI:10.1097/MD.0000000000003706.
[22] Yang JJ, Lin LC, Chao KH, et al. Risk factors for nonunion in patients with intracapsular femoral neck fractures treated with three cannulated screws placed in either a triangle or an inverted triangle configuration[J]. J Bone Joint Surg Am, 2013,95(1):61-69. DOI:10.2106/JBJS.K.01081.
[23] Yu X, Rong PZ, Pang QJ, et al. The effect on the fracture healing following femoral neck shortening after osteoporotic femoral neck fracture treated with internal fixation: finite element analysis[J]. Biomed Res Int, 2021,2021:3490881. DOI:10.1155/2021/3490881.
[24] Leighton RK, de Dios Robinson J, Giannoudis PV. Nonunions of bisphosphonate fractures of the femur: presentation, etiopathogenesis, diagnosis, and operative treatment[J]. J Orthop Trauma, 2019,33 Suppl 8:S14-S20. DOI:10.1097/BOT.0000000000001642.
[25] Benterud JG, Husby T, Graadahl O, et al. Implant holding power of the femoral head. a cadaver study of fracture screws[J]. Acta Orthop Scand, 1992,63(1):47-49. DOI:10.3109/17453679209154848.
[26] Parker MJ, Raghavan R, Gurusamy K. Incidence of fracture-healing complications after femoral neck fractures[J]. Clin Orthop Relat Res, 2007,458:175-179. DOI:10.1097/BLO.0b013e3180325a42.
[27] Sprague S, Schemitsch EH, Swiontkowski M, et al. Factors associated with revision surgery after internal fixation of hip fractures[J]. J Orthop Trauma, 2018,32(5):223-230. DOI:10.1097/BOT.0000000000001162.
[28] Kalsbeek JH, van Donkelaar MF, Krijnen P, et al. What makes fixation of femoral neck fractures fail? a systematic review and meta-analysis of risk factors[J]. Injury, 2023,54(2):652-660. DOI:10.1016/j.injury.2022.11.042.
[29] Chen X, Zhang J, Wang X, et al. Incidence of and factors influencing femoral neck shortening in elderly patients after fracture fixation with multiple cancellous screws[J]. Med Sci Monit, 2017,23:1456-1463. DOI:10.12659/msm.899476.
[30] Liu Y, Ai ZS, Shao J, et al. Femoral neck shortening after internal fixation[J]. Acta Orthop Traumatol Turc, 2013,47(6):400-404. DOI:10.3944/aott.2013.3235.
[31] Stockton DJ, Lefaivre KA, Deakin DE, et al. Incidence, magnitude, and predictors of shortening in young femoral neck fractures[J]. J Orthop Trauma, 2015,29(9):e293-e298. DOI:10.1097/BOT.0000000000000351.
[32] Hu H, Cheng J, Feng M, et al. Clinical outcome of femoral neck system versus cannulated compression screws for fixation of femoral neck fracture in younger patients[J]. J Orthop Surg Res, 2021,16(1):370. DOI:10.1186/s13018-021-02517-z.
[33] Seebeck J, Goldhahn J, Städele H, et al. Effect of cortical thickness and cancellous bone density on the holding strength of internal fixator screws[J]. J Orthop Res, 2004,22(6):1237-1242. DOI:10.1016/j.orthres.2004.04.001.
[34] Alves T, Neal JW, Weinhold PS, et al. Biomechanical comparison of 3 possible fixation strategies to resist femoral neck shortening after fracture[J]. Orthopedics, 2010,33(4): 233-237. DOI:10.3928/01477447-20100225 -07.

股骨颈骨折内固定术后并发症研究进展

Research progress on complications after internal fixation of femoral neck fracture

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	曾宪虎李明李子龙项旭田慧李惠珠马龙杰方笑丽陈力唐冉. 中西医关于溃疡性结肠炎的研究进展 [J]. 国际医药卫生导报, 2024, 30(9): 1415-1418.
[2]	高雯雯张翔王红尹雁惠. 小肠细菌过度生长的治疗新进展 [J]. 国际医药卫生导报, 2024, 30(9): 1418-1421.
[3]	孙虓刘成霞王娜郝佳慧储琳琳栗成钰. 探讨胃“炎癌转化”中腐胺与巨噬细胞极化的关系 [J]. 国际医药卫生导报, 2024, 30(9): 1426-1429.
[4]	王文斌郭小花郑兆华郭曼孙力. 帕博利珠单抗联合白蛋白紫杉醇与卡培他滨方案治疗进展期胃癌患者的疗效评估 [J]. 国际医药卫生导报, 2024, 30(9): 1430-1434.
[5]	李纯杜巧婷刘令令. 初产妇产后缺乳中西医治疗研究进展 [J]. 国际医药卫生导报, 2024, 30(9): 1446-1449.
[6]	何祥琴杨芳丁国锋. 中成药相关肝损伤研究进展 [J]. 国际医药卫生导报, 2024, 30(9): 1450-1453.
[7]	王磊尤菲张锋吴冠吉刘树文马前锋. 老年心力衰竭患者应用心脏再同步化治疗后无应答的影响因素 [J]. 国际医药卫生导报, 2024, 30(8): 1248-1252.
[8]	杨寿娟张海涛崔明丽王建李洋程艳丽. Wnt信号通路在急性心肌梗死中的研究进展 [J]. 国际医药卫生导报, 2024, 30(8): 1291-1296.
[9]	邹皓珍杨佳席哲帆纪瑞董华. 单细胞RNA测序技术在肾病中的研究进展 [J]. 国际医药卫生导报, 2024, 30(8): 1307-1311.
[10]	邵爽郭纪伟孟玮. m⁶A及m⁵C甲基化修饰通过促进细胞增殖与转移影响癌症的发生和发展 [J]. 国际医药卫生导报, 2024, 30(8): 1316-1320.
[11]	吴瑶吕翔. 尘螨过敏哮喘儿童皮下特异性免疫治疗效果的影响因素分析 [J]. 国际医药卫生导报, 2024, 30(8): 1353-1357.
[12]	赵博李思维邢甜高萍朱宏喆李敏. TRPV1通道在感染性疾病中的研究进展 [J]. 国际医药卫生导报, 2024, 30(7): 1057-1062.
[13]	李孟奇李朋杜刚强孙鸿朔张锴. 长骨骨不连的发病率及手术治疗研究进展 [J]. 国际医药卫生导报, 2024, 30(7): 1062-1066.
[14]	丁嘉雯李娜. ESBLs阳性肺炎克雷伯菌的研究进展 [J]. 国际医药卫生导报, 2024, 30(7): 1071-1074.
[15]	彭良贞张凤海. F形空心钉固定与传统平行钉固定治疗股骨颈骨折患者的效果比较 [J]. 国际医药卫生导报, 2024, 30(7): 1142-1146.