84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]譚哲,鄧光樺.股骨近端防旋髓內(nèi)釘聯(lián)合捆扎內(nèi)固定治療股骨轉(zhuǎn)子間骨折有效性和安全性的mETA分析[J].中醫(yī)正骨,2023,35(11):29-36,43.
　TAN Zhe,DENG Guanghua.Clinical outcomes and safety of proximal femoral nail antirotation combined with bundling internal fixation for treatment of intertrochanteric fractures:a meta-analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2023,35(11):29-36,43.
點(diǎn)擊復(fù)制

股骨近端防旋髓內(nèi)釘聯(lián)合捆扎內(nèi)固定治療股骨轉(zhuǎn)子間骨折有效性和安全性的mETA分析()
分享到：

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期數(shù):
2023年11期
頁(yè)碼:
29-36,43
欄目:
文獻(xiàn)研究
出版日期:
2023-11-20

文章信息/Info

Title:
Clinical outcomes and safety of proximal femoral nail antirotation combined with bundling internal fixation for treatment of intertrochanteric fractures:a meta-analysis
作者:
譚哲; 鄧光樺
雅安市中醫(yī)醫(yī)院,四川 雅安 625000
Author(s):
TAN Zhe; DENG Guanghua
Ya'an Traditional Chinese Medicine Hospital,Ya'an 625000,Sichuan,China
關(guān)鍵詞:
髖骨折;  股骨轉(zhuǎn)子間骨折;  骨折固定術(shù); 內(nèi);  股骨近端防旋髓內(nèi)釘;  骨固定鋼絲;  捆扎;  專題Meta分析
Keywords:
hip fractures;  femoral intertrochanteric fracture;  fracture fixation; internal;  proximal femoral nail antirotation;  bone wires;  tying;  meta-analysis as topic
摘要:
目的:系統(tǒng)評(píng)價(jià)股骨近端防旋髓內(nèi)釘(proximal femoral nail antirotation,PFNA)聯(lián)合捆扎內(nèi)固定治療股骨轉(zhuǎn)子間骨折的有效性和安全性。方法:應(yīng)用計(jì)算機(jī)檢索中國(guó)知網(wǎng)、維普網(wǎng)、萬方數(shù)據(jù)庫(kù)、中國(guó)生物醫(yī)學(xué)文獻(xiàn)服務(wù)系統(tǒng)、PubMed、Embase、Web of Science和Cochrane Library中關(guān)于PFNA聯(lián)合捆扎內(nèi)固定和單純PFNA內(nèi)固定治療股骨轉(zhuǎn)子間骨折的對(duì)比研究文獻(xiàn),檢索時(shí)限均為建庫(kù)至2022年8月8日。試驗(yàn)組采用PFNA聯(lián)合捆扎內(nèi)固定治療,對(duì)照組單純采用PFNA內(nèi)固定治療。由2名研究人員依據(jù)文獻(xiàn)檢索及篩選方案篩選出符合要求的文獻(xiàn),并獨(dú)立進(jìn)行數(shù)據(jù)提取和質(zhì)量評(píng)價(jià)。采用Stata16.0軟件進(jìn)行Meta分析。結(jié)果:共檢索到534篇文獻(xiàn),最終納入12篇文獻(xiàn),共涉及758例患者,其中試驗(yàn)組356例、對(duì)照組402例。Meta分析結(jié)果顯示,試驗(yàn)組手術(shù)時(shí)間長(zhǎng)于對(duì)照組[WMD=6.35,95%CI(2.73,9.97)],術(shù)中出血量多于對(duì)照組[WMD=13.15,95%CI(2.99,23.30)],術(shù)后下地負(fù)重時(shí)間、骨折愈合時(shí)間均短于對(duì)照組[WMD=-3.03,95%CI(-4.26,-1.81); WMD=-3.21,95%CI(-6.16,-0.25)],末次隨訪時(shí)Harris髖關(guān)節(jié)評(píng)分高于對(duì)照組[WMD=5.66,95%CI(3.47,7.85)],并發(fā)癥發(fā)生率低于對(duì)照組[OR=0.25,95%CI(0.15,0.42)]。結(jié)論:PFNA聯(lián)合捆扎內(nèi)固定治療股骨轉(zhuǎn)子間骨折與單純PFNA內(nèi)固定比較,有利于術(shù)后早期負(fù)重、骨折愈合及髖關(guān)節(jié)功能恢復(fù),且安全性高,但會(huì)增加手術(shù)時(shí)間和術(shù)中出血量。
Abstract:
Objective:To systematically review the clinical outcomes and safety of proximal femoral nail antirotation(PFNA)combined with bundling internal fixation in treatment of intertrochanteric fractures.Methods:All the comparative study articles about PFNA combined with bundling internal fixation versus PFNA internal fixation alone for treatment of intertrochanteric fractures included from database establishing to August 8,2022 were retrieved from the China National Knowledge Internet,Vip Database,Wanfang Database,Chinese Biomedical Literature Service System,PubMed,Embase,Web of Science and Cochrane Library through computer.The patients in experiment group were treated with PFNA and bundling internal fixation,while the ones in control group merely with PFNA internal fixation.The articles were retrieved and screened and the information was extracted independently by two researchers according to the inclusion and exclusion criteria.The methodological quality of researches in the included articles was evaluated respectively independently by the same two researchers,and if any disagreement was found between them,discussion was conducted or another researcher was invited for making a final decision,and then a Meta-analysis was conducted by using Stata16.0 software.Results:Five hundred and thirty-four articles were searched out.After screening,12 articles(758 patients)were included in the final analysis,356 patients in experiment group and 402 ones in control group.The results of Meta-analysis revealed that the operative time was longer,the intraoperative blood loss was more,the postoperative weight-bearing walking was earlier,the fracture healing time was shorter,the Harris hip score evaluated at the last follow-up was higher,and the postoperative complication incidence rate was lower in experiment group compared to control group(WMD=6.35,95%CI(2.73,9.97); WMD=13.15,95%CI(2.99,23.30); WMD=-3.03,95%CI(-4.26,-1.81); WMD=-3.21,95%CI(-6.16,-0.25); WMD=5.66,95%CI(3.47,7.85); OR=0.25,95%CI(0.15,0.42)).Conclusion:PFNA combined with bundling internal fixation is conducive to postoperative earlier weight-bearing,fracture healing and hip function recovery with high safety,but can increase the operative time and intraoperative blood loss compared to PFNA alone in treatment of intertrochanteric fractures.

參考文獻(xiàn)/References:

[1] ZHANG C,FENG J,WANG S,et al.Incidence of and trends in hip fracture among adults in urban China:a nationwide retrospective cohort study[J].PLoS Med,2020,17(8):e1003180.
[2] VERONESE N,MAGGI S.Epidemiology and social costs of hip fracture[J].Injury,2018,49(8):1458-1460.
[3] YU F,XIA W.The epidemiology of osteoporosis,associated fragility fractures,and management gap in China[J].Arch Osteoporos,2019,14(1):32.
[4] SAUL D,RIEKENBERG J,AMMON J C,et al.Hip Fractures:therapy,timing,and complication spectrum[J].Orthop Surg,2019,11(6):994-1002.
[5] CHANG S M,HOU Z Y,HU S J,et al.Intertrochanteric femur fracture treatment in Asia:what we know and what the world can learn[J].Orthop Clin North Am,2020,51(2):189-205.
[6] TURESSON E,IVARSSON K,THORNGREN K G,et al.Hip fractures-treatment and functional outcome.The development over 25 years[J].Injury,2018,49(12):2209-2215.
[7] YU X,WANG H,DUAN X,et al.Intramedullary versus extramedullary internal fixation for unstable intertrochanteric fracture,a meta-analysis[J].Acta Orthop Traumatol Turc,2018,52(4):299-307.
[8] MAGNUSSON K A,GUNNARSSON B,SIGURDSSON G H,et al.Treatment and outcome of patients with hip fracture[J].Laeknabladid,2016,102(3):119-125.
[9] 史文驥,毛賓堯,趙艷.股骨近端防旋髓內(nèi)釘治療老年股骨轉(zhuǎn)子間骨折療效及并發(fā)癥探討[J].中國(guó)骨傷,2021,34(10):906-910.
[10] BHOWMICK K,MATTHAI T,BOOPALAN P R J,et al.Decision making in the management of malunion and nonunion of intertrochanteric fractures of the hip[J].Hip Int,2020,30(6):793-798.
[11] SHON O J,CHOI C H,PARK C H.Factors associated with mechanical complications in intertrochanteric fracture treated with proximal femoral nail antirotation[J].Hip Pelvis,2021,33(3):154-161.
[12] 杜春雨,林峰,王秋根,等.大轉(zhuǎn)子再結(jié)合裝置輔助股骨近端防旋髓內(nèi)釘治療合并冠狀面骨折的不穩(wěn)定性股骨轉(zhuǎn)子間骨折[J].國(guó)際骨科學(xué)雜志,2017,38(1):55-59.
[13] 農(nóng)林,鄧春雷,丘婷丹.鋼絲PFNA內(nèi)固定治療股骨粗隆間粉碎骨折的臨床研究[J].中國(guó)醫(yī)學(xué)創(chuàng)新,2018,15(20):117-120.
[14] IMERCI A,AYDOGAN N H,TOSUN K.The effect on outcomes of the application of circumferential cerclage cable following intramedullary nailing in reverse intertrochanteric femoral fractures[J].Eur J Orthop Surg Traumatol,2019,29(4):835-842.
[15] 姜昊,曹烈虎,潘思華,等.有限切開鈦纜捆扎輔助PFNA與單純微創(chuàng)輔助PFNA治療老年骨質(zhì)疏松性31-A3型股骨粗隆間骨折的療效對(duì)比[J].中國(guó)骨與關(guān)節(jié)雜志,2019,8(3):191-195.
[16] 鄭軍,余潤(rùn)澤.愛惜邦縫線捆扎結(jié)合股骨近端抗旋髓內(nèi)釘治療股骨粗隆間冠狀位骨折[J].生物醫(yī)學(xué)工程與臨床,2019,23(1):46-50.
[17] HUANG C,WU X.Surgical selection of unstable intertrochanteric fractures:PFNA combined with or without cerclage cable[J].Biomed Res Int,2021,2021:8875370.
[18] 張威,趙士君,李翔,等.改良“糖果包扎”鋼絲內(nèi)固定聯(lián)合股骨近端防旋髓內(nèi)釘內(nèi)固定治療老年A2型股骨轉(zhuǎn)子間骨折的臨床研究[J].中醫(yī)正骨,2021,33(10):23-28.
[19] 田克超,王磊,陶勇,等.股骨近端防旋髓內(nèi)釘聯(lián)合后內(nèi)側(cè)壁重建治療老年A2型股骨轉(zhuǎn)子間骨折[J].中國(guó)組織工程研究,2021,25(21):3337-3342.
[20] 陳光,劉濤,王冰一,等.PFNA聯(lián)合股骨小粗隆環(huán)扎內(nèi)固定治療AO-A2型老年不穩(wěn)定股骨粗隆間骨折療效觀察[J].中國(guó)骨與關(guān)節(jié)損傷雜志,2021,36(4):375-377.
[21] 黃琨,黃常紅,王飚.股骨近端防旋髓內(nèi)釘聯(lián)合鋼絲環(huán)扎內(nèi)固定治療老年AO-A3型股骨粗隆間骨折療效分析[J].中國(guó)骨與關(guān)節(jié)損傷雜志,2021,36(8):798-802.
[22] 洪魏.股骨粗隆間骨折閉合復(fù)位PFNA內(nèi)固定術(shù)治療的臨床分析[J].飲食保健,2022(14):57-60.
[23] 趙東華,杜云峰,王紅星,等.有限切開鈦纜捆扎輔助股骨近端髓內(nèi)釘固定治療老年骨質(zhì)疏松性31-A3型股骨粗隆間骨折患者的效果[J].河南醫(yī)學(xué)研究,2022,31(11):2005-2008.
[24] BERGER V W.Is the Jadad score the proper evaluation of trials?[J].J Rheumatol,2006,33(8):1710-1711.
[25] 曾憲濤,莊麗萍,楊宗國(guó),等.Meta分析系列之七:非隨機(jī)實(shí)驗(yàn)性研究、診斷性試驗(yàn)及動(dòng)物實(shí)驗(yàn)的質(zhì)量評(píng)價(jià)工具[J].中國(guó)循證心血管醫(yī)學(xué)雜志,2012,4(6):496-499.
[26] 孫群周,阮成群,陳武林,等.股骨近端防旋髓內(nèi)釘內(nèi)固定與股骨近端鎖定鋼板內(nèi)固定治療A2.3型股骨轉(zhuǎn)子間骨折合并大轉(zhuǎn)子外側(cè)壁冠狀面破損的對(duì)比研究[J].中醫(yī)正骨,2021,33(4):9-14.
[27] 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):e659-666.
[28] HAO Z,WANG X,ZHANG X.Comparing surgical interventions for intertrochanteric hip fracture by blood loss and operation time:a network meta-analysis[J].J Orthop Surg Res,2018,13(1):157.
[29] RICCI W M,BELLABARBA C,LEWIS R,et al.Angular malalignment after intramedullary nailing of femoral shaft fractures[J].J Orthop Trauma,2001,15(2):90-95.
[30] APIVATTHAKAKUL T,PHORNPHUTKUL C.Percutaneous cerclage wiring for reduction of periprosthetic and difficult femoral fractures.A technical note[J].Injury,2012,43(6):966-971.
[31] APRATO A,LO BAIDO R,CROSIO A,et al.Does lesser trochanter implication affect hip flexion strength in proximal femur fracture?[J].Eur J Trauma Emerg Surg,2015,41(5):523-529.
[32] NIE S B,ZHAO Y P,LI J T,et al.Medial support nail and proximal femoral nail antirotation in the treatment of reverse obliquity inter-trochanteric fractures(Arbeitsgemeinschaft fur Osteosynthesfrogen/Orthopedic Trauma Association 31-A3.1):a finite-element analysis[J].Chin Med J(Engl),2020,133(22):2682-2687.
[33] DENG H L,CONG Y X,HUANG H,et al.The effect of integrity of lateral wall on the quality of reduction and outcomes in elderly patients with intertrochanteric fracture:a controlled study[J].Biomed Res Int,2021,2021:6563077.
[34] 何小文,吳子征,張鍵.股骨轉(zhuǎn)子間骨折重建股骨距的臨床解剖學(xué)研究[J].中國(guó)臨床醫(yī)學(xué),2012,19(4):383-385.

相似文獻(xiàn)/References:

[1]溫超海,何忠,李永斌,等.閉合復(fù)位伽瑪釘改良成鎖定支架內(nèi)固定治療 老年股骨轉(zhuǎn)子間骨折[J].中醫(yī)正骨,2015,27(11):32.
[2]孫群周,阮成群,李光明,等.股骨近端防旋髓內(nèi)釘內(nèi)固定治療 老年不穩(wěn)定型股骨轉(zhuǎn)子間骨折[J].中醫(yī)正骨,2015,27(10):20.
[3]方策,倪新宇,王宏偉,等.遲氏正骨手法復(fù)位單臂外固定支架固定治療 老年股骨轉(zhuǎn)子間骨折[J].中醫(yī)正骨,2015,27(10):22.
[4]趙云昌.人工股骨頭置換治療老年粉碎性股骨轉(zhuǎn)子間骨折[J].中醫(yī)正骨,2015,27(08):31.
[5]姜自偉,黃楓,鄭曉輝,等.老年股骨轉(zhuǎn)子間骨折患者的圍手術(shù)期風(fēng)險(xiǎn)評(píng)估與控制[J].中醫(yī)正骨,2015,27(08):33.
[6]倪新宇,方策.外固定器治療股骨轉(zhuǎn)子間骨折的研究進(jìn)展[J].中醫(yī)正骨,2015,27(07):48.
[7]王智勇,陳柯,田可為,等.聯(lián)合應(yīng)用搖桿技術(shù)和鉗夾技術(shù)微創(chuàng)治療股骨轉(zhuǎn)子部骨折[J].中醫(yī)正骨,2015,27(05):36.
[8]鄭艷峰,吳勛,周榮昌,等.股骨近端防旋髓內(nèi)釘內(nèi)固定與動(dòng)力髖螺釘內(nèi)固定治療 老年股骨轉(zhuǎn)子間骨折的對(duì)比研究[J].中醫(yī)正骨,2015,27(04):24.
　ZHENG Yanfeng,WU Xun,ZHOU Rongchang,et al.A comparative study of proximal femoral nail antirotation internal fixation versus dynamic hip screw internal fixation for treatment of intertrochanteric fractures in the aged[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(11):24.
[9]龔江浩.股骨近端防旋髓內(nèi)釘聯(lián)合抗骨質(zhì)疏松藥物治療 不穩(wěn)定型老年股骨轉(zhuǎn)子間骨折的臨床觀察[J].中醫(yī)正骨,2015,27(04):29.
　GONG Jianghao.A combination therapy of proximal femoral nail antirotation and anti-osteoporotic drugs for the treatment of unstable femoral intertrochanteric fractures in the aged[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(11):29.
[10]張磊,柴浩.股骨近端髓內(nèi)釘與動(dòng)力髖螺釘固定治療 老年股骨轉(zhuǎn)子間骨折的系統(tǒng)評(píng)價(jià)[J].中醫(yī)正骨,2015,27(03):27.
　ZHANG Lei,CHAI Hao.Systematic review on proximal femoral nail versus dynamic hip screw fixation for treatment of intertrochanteric fracture in the aged[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(11):27.
[11]張明強(qiáng).生物型加長(zhǎng)柄半髖關(guān)節(jié)置換術(shù)治療 高齡不穩(wěn)定股骨轉(zhuǎn)子間骨折療效觀察[J].中醫(yī)正骨,2015,27(02):56.
[12]李書良,李啟義,李建明,等.鎖定鋼板內(nèi)固定聯(lián)合自體髂骨植骨治療 股骨近端粉碎性骨折[J].中醫(yī)正骨,2015,27(05):31.
[13]王國(guó)柱,肖斌,孫鵬程,等.帶大轉(zhuǎn)子柄人工股骨頭置換術(shù)治療高齡股骨轉(zhuǎn)子間不穩(wěn)定性骨折[J].中醫(yī)正骨,2016,28(05):54.
[14]楊杰,張劍.人工半髖關(guān)節(jié)置換術(shù)治療老年股骨轉(zhuǎn)子間骨折[J].中醫(yī)正骨,2018,30(11):71.
[15]江濤,江林,史俊德,等.多功能牽引床骨牽引治療高齡股骨轉(zhuǎn)子間骨折[J].中醫(yī)正骨,2020,32(07):51.
[16]張雨,李鈞,李志民,等.股骨近端防旋髓內(nèi)釘內(nèi)固定治療老年股骨轉(zhuǎn)子間骨折內(nèi)固定失效的危險(xiǎn)因素分析[J].中醫(yī)正骨,2022,34(02):3.
　ZHANG Yu,LI Jun,LI Zhimin,et al.Analysis of risk factors for the failure of internal fixation with proximal femoral nail antirotation for treatment of intertrochanteric fractures in the aged[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2022,34(11):3.
[17]翟亞業(yè),秦曉彬,李森,等.老年股骨轉(zhuǎn)子間骨折股骨近端防旋髓內(nèi)釘內(nèi)固定術(shù)后髖關(guān)節(jié)功能恢復(fù)的影響因素分析[J].中醫(yī)正骨,2022,34(12):29.
　ZHAI Yaye,QIN Xiaobin,LI Sen,et al.Factors affecting hip functional recovery in the elderly with intertrochanteric fractures treated with proximal femoral nail antirotation internal fixation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2022,34(11):29.
[18]鮑雷,馮冬前,余加生,等.骨水泥強(qiáng)化型與傳統(tǒng)型股骨近端防旋髓內(nèi)釘內(nèi)固定治療老年骨質(zhì)疏松性股骨轉(zhuǎn)子間不穩(wěn)定性骨折的對(duì)比研究[J].中醫(yī)正骨,2023,35(10):16.
　BAO Lei,FENG Dongqian,YU Jiasheng,et al.A comparative study of bone cement-reinforced versus conventional proximal femoral nail antirotation internal fixation for treatment of unstable osteoporotic intertrochanteric fractures in the aged[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2023,35(11):16.
[19]柳松,張德祥.老年股骨轉(zhuǎn)子間骨折患者股骨近端防旋髓內(nèi)釘內(nèi)固定術(shù)后頸干角丟失的影響因素分析[J].中醫(yī)正骨,2023,35(11):5.
　LIU Song,ZHANG Dexiang.Analysis of factors influencing the loss of collodiaphyseal angle after internal fixation with proximal femoral nail antirotation for treatment of intertrochanteric fractures in the aged[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2023,35(11):5.
[20]羅程,宋忱,龔健,等.老年髖部骨折手術(shù)延遲的影響因素分析及風(fēng)險(xiǎn)預(yù)測(cè)模型構(gòu)建[J].中醫(yī)正骨,2024,36(02):32.
　LUO Cheng,SONG Chen,GONG Jian,et al.Influencing factors and a risk forecasting model of delayed operation for hip fractures in the aged[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2024,36(11):32.

備注/Memo

備注/Memo:
通訊作者:鄧光樺 E-mail:[email protected]
更新日期/Last Update: 1900-01-01