[1]茆玮,张世民,张英琪,等.股骨转子间骨折前内侧皮质支撑复位的研究进展[J].中华老年骨科与康复电子杂志,2023,(03):182-187.[doi:10.3877/cma.j.issn.2096-0263.2023.03.008]
　Mao Wei,Zhang Shimin,et al.Advances in anteromedial cortical support reduction of trochanteric hip fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2023,(03):182-187.[doi:10.3877/cma.j.issn.2096-0263.2023.03.008]
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股骨转子间骨折前内侧皮质支撑复位的研究进展()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2023年03期
页码:
182-187
栏目:
综述
出版日期:
2023-06-05

文章信息/Info

Title:
Advances in anteromedial cortical support reduction of trochanteric hip fractures
作者:
茆玮1; 2; 张世民1; 张英琪3; 胡孙君1; 杜守超1
200090 上海，同济大学附属杨浦医院骨科1；200240 上海，复旦大学附属上海市第五人民医院骨科2；200065 上海，同济大学附属同济医院骨科3
Author(s):
Mao Wei1;  2;  Zhang Shimin1;  Zhang Yingqi3;  Hu Sunjun1;  Du Shouchao1.
1Department of Orthopedic Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China; 2Department of Orthopedics, Shanghai Fifth People’s Hospital, Fudan University, Shanghai 200240, China; 3Department of Orthopaedics, Tongji Hospital, Tongji University School of Medicine, Shanghai 200065, China
关键词:
股骨转子间骨折;  前内侧皮质支撑 ; 骨折复位
Keywords:
Trochanteric hip fractures;  Anteromedial cortical support;  Fracture reduction
DOI:
10.3877/cma.j.issn.2096-0263.2023.03.008
文献标志码:
A
摘要:
股骨转子间骨折是全球范围内的重大公共卫生问题之一。身体条件可耐受的患者应首选内固定手术治疗，以实现早期康复并预防卧床相关的并发症。骨折复位质量决定了手术效果，因而复位技术的进展受到骨科医生的持续关注。目前，前内侧皮质支撑复位技术经过近8年的发展，已在国际上获得认可，但新出现的问题仍有待解决：基础研究数量与质量有待提高；正性支撑与中性支撑孰优孰更优；前侧支撑与内侧支撑孰更重要；中性支撑与解剖复位的异同；Chang复位质量标准与Baumgaertner复位质量标准的对比。本文系统回顾了近年来的基础研究与临床研究，总结了相关的新进展、新争议，以此为前内侧皮质支撑复位理论的临床应用及后续研究提供参考。
Abstract:
The trochanteric hip fracture is one of the most serious public health issues. Surgical intervention achieves early mobilization and prevents secondary complications. In recent years, the positive anteromedial cortical support, one non-anatomical fracture reduction technique, acquired wide recognition but with new controversial issues: the lack of experimental studies; the comparison between positive and neutral cortical support; the comparison between anterior and medial cortical support; the difference between neutral cortical support and anatomical reduction; and the comparison between Chang and Baumgaertner reduction quality criteria. This review provides an overview of related reports of clinical study, finite element analysis as well as biomechanical testing, and summarizes the research progress and debate in this field.

相似文献/References:

[1]曹发奇,谢旭东,胡益强,等.双反牵引器微创复位在老年不稳定型股骨转子间骨折的应用研究[J].中华老年骨科与康复电子杂志,2022,(06):325.[doi:10.3877/cma.j.issn.2096-0263.2022.06.002]
　Cao Faqi,Xie Xudong,Hu Yiqiang,et al.Application of minimally invasive reduction with double-reverse traction repositor in elderly unstable femoral intertrochanteric fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2022,(03):325.[doi:10.3877/cma.j.issn.2096-0263.2022.06.002]
[2]杨鹏,刘冲.PFNA治疗老年股骨转子间骨折后隐匿性失血及其危险因素的横断面研究[J].中华老年骨科与康复电子杂志,2023,(05):301.[doi:10.3877/cma.j.issn.2096-0263.2023.05.008]
　Yang Peng,Liu Chong.A cross-sectional study on occult blood loss and its risk factors after PFNA treatment of intertrochanteric fractures in the elderly[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2023,(03):301.[doi:10.3877/cma.j.issn.2096-0263.2023.05.008]

备注/Memo

备注/Memo:
基金项目：国家自然科学基金面上项目（81772323）；上海市卫生健康委员会卫生行业临床研究专项课题（20214Y0317）；上海市科学技术委员会科技计划项目（23ZR1459300）
更新日期/Last Update: 2023-07-05