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[1]鄺孝坤,田可為,范克杰,等.F形空心螺釘內固定術治療股骨頸骨折有效性和安全性的Meta分析[J].中醫(yī)正骨,2024,36(07):44-50.
　KUANG Xiaokun,TIAN Kewei,FAN Kejie,et al.Clinical outcomes and safety of F-shaped hollow screw internal fixation for treatment of femoral neck fracture:a meta-analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2024,36(07):44-50.
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F形空心螺釘內固定術治療股骨頸骨折有效性和安全性的Meta分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第36卷
期數:
2024年07期
頁碼:
44-50
欄目:
文獻研究
出版日期:
2024-07-20

文章信息/Info

Title:
Clinical outcomes and safety of F-shaped hollow screw internal fixation for treatment of femoral neck fracture:a meta-analysis
作者:
鄺孝坤1; 田可為2; 范克杰2; 馬文龍2; 劉英科1; 嚴嘉祥2; 田燃2; 陳柯2
1.河南中醫(yī)藥大學研究生院,河南 鄭州 450046; 2.河南省洛陽正骨醫(yī)院/河南省骨科醫(yī)院,河南 洛陽 471002
Author(s):
KUANG Xiaokun1; TIAN Kewei2; FAN Kejie2; MA Wenlong2; LIU Yingke1; YAN Jiaxiang2; TIAN Ran2; CHEN Ke2
1.Postgraduate College of Henan University of Chinese Medicine,Zhengzhou 450046,Henan,China 2.Luoyang Orthopedic-Traumatological Hospital,Luoyang 471002,Henan,China.
關鍵詞:
股骨頸骨折;  骨折固定術; 內;  骨螺絲;  專題Meta分析
Keywords:
femoral neck fractures;  fracture fixation; internal;  bone screws;  meta-analysis as topic
摘要:
目的:系統(tǒng)評價F形空心螺釘內固定術治療股骨頸骨折(femoral neck fracture,FNF)的有效性和安全性。方法:檢索中國知網、萬方數據庫、維普網、中國生物醫(yī)學文獻服務系統(tǒng)、PubMed、Cochrane Library、Embase、Web of Science中比較F形空心螺釘內固定術(F形固定組)與3枚空心螺釘平行內固定術(平行固定組)治療FNF有效性和安全性的隨機對照試驗和非隨機對照試驗,檢索時限均為2011年1月1日至2024年5月1日。由2名研究人員獨立篩選文獻、提取數據并評價納入研究的偏倚風險后,采用Stata16.0軟件進行Meta分析。結果:共納入11項研究,其中非隨機對照試驗7項、隨機對照試驗4項; 共涉及846例患者,其中F形固定組425例、平行固定組421例。Meta分析結果顯示,與平行固定組相比,F形固定組住院時間更短[MD=-2.45,95%CI(-3.42,-1.47),P=0.000]、復位滿意率更高[OR=3.49,95%CI(1.88,6.48),P=0.000]、骨折愈合更快[MD=-0.72,95%CI(-0.93,-0.50),P=0.000]、末次隨訪髖部疼痛視覺模擬量表評分更低[MD=-2.07,95%CI(-2.39,-1.74),P=0.000]、末次隨訪Harris評分更高[MD=7.62,95%CI(3.52,11.71),P=0.000]、股骨頭壞死發(fā)生率更低[OR=0.32,95%CI(0.17,0.61),P=0.001]、骨折不愈合發(fā)生率更低[OR=0.42,95%CI(0.23,0.78),P=0.006]、股骨頸短縮發(fā)生率更低[OR=0.40,95%CI(0.23,0.69),P=0.001]、內固定失效發(fā)生率更低[OR=0.25,95%CI(0.13,0.51),P=0.000]; 2組手術時間、術中出血量、術中X線透視時間的差異均無統(tǒng)計學意義。分別采用固定效應模型和隨機效應模型對上述結局指標進行Meta分析,所得結果基本相似,表明研究結果穩(wěn)健可靠。基于末次隨訪Harris評分進行發(fā)表偏倚分析,Egger's檢驗結果提示不存在發(fā)表偏倚(P=0.114)。結論:現有證據表明,相較于傳統(tǒng)的3枚空心螺釘平行內固定術,采用F形空心螺釘內固定術治療FNF臨床療效更好、安全性更高,且不會增加手術操作難度,也不會對患者造成額外創(chuàng)傷。
Abstract:
Objective:To systematically review the clinical outcomes and safety of F-shaped hollow screw internal fixation in treatment of femoral neck fracture(FNF).Methods:All the randomized controlled trial(RCT)and non-RCT articles about the clinical outcomes and safety of F-shaped hollow screw internal fixation(F-shaped fixation group)versus three hollow screws parallel internal fixation(parallel fixation group)for treatment of FNF included from January 1,2011 to May 1,2024 were retrieved from the China National Knowledge Infrastructure,Wanfang Database,Vip Database,Chinese Biomedical Literature Service System,PubMed,Cochrane Library,Embase and Web of Science.The pertinent articles were screened,the information was extracted and the risk of bias of the included researches was assessed independently by two researchers,and then a Meta-analysis was conducted by using Stata16.0 software.Results:Eleven articles(846 patients)were included in the final analysis,including 7 non-RCT articles,and 4 RCT articles.Four hundred and twenty-five patients in F-shaped fixation group,and 421 ones in parallel fixation group.The results of Meta-analysis revealed that the hospital stay was shorter,the reduction satisfaction rate and the Harris score measured at the last follow-up were higher,the fracture healing was faster,the hip pain visual analogue scale(VAS)score measured at the last follow-up and the incidence rates of femur head necrosis(FHN),fracture nonunion,femoral neck shortening and failed internal fixation were lower in F-shaped fixation group compared to parallel fixation group(MD=-2.45,95%CI(-3.42,-1.47),P=0.000; OR=3.49,95%CI(1.88,6.48),P=0.000; MD=7.62,95%CI(3.52,11.71),P=0.000; MD=-0.72,95%CI(-0.93,-0.50),P=0.000; MD=-2.07,95%CI(-2.39,-1.74),P=0.000; OR=0.32,95%CI(0.17,0.61),P=0.001; OR=0.42,95%CI(0.23,0.78),P=0.006; OR=0.40,95%CI(0.23,0.69),P=0.001; OR=0.25,95%CI(0.13,0.51),P=0.000); while,the differences in operative time,intraoperative blood loss,and intraoperative X-ray exposure were not statistically significant between the 2 groups.A re-evaluation was further performed on the aforementioned outcome indicators by employing a fixed-effect model and a random-effect model,respectively,and the results showcased that no evident change was found in the result of each outcome indicator,suggesting the results of the Meta-analysis in this study were relatively stable and reliable.Moreover,the publication bias was analyzed based on the Harris score measured at the last follow-up,and the result of Bgger's test showed that there was no publication bias in the included articles(P=0.114).Conclusion:Available evidences suggest that,compared to the traditional parallel internal fixation with three hollow screws,the F-shaped hollow screw internal fixation behaves better in clinical outcomes and safety in the treatment of FNF,without increasing the difficulty of surgical operation or causing additional trauma to the patients.

參考文獻/References:

[1] WU H,LI Y,TONG L,et al.Worldwide research tendency and hotspots on hip fracture:a 20-year bibliometric analy-sis[J].Arch Osteoporos,2021,16(1):73.
[2] FILIPOV O.Biplane double-supported screw fixation(F-technique):a method of screw fixation at osteoporotic fractures of the femoral neck[J].Eur J Orthop Surg Traumatol,2011,21(7):539-543.
[3] FILIPOV O,STOFFEL K,GUEORGUIEV B,et al.Femoral neck fracture osteosynthesis by the biplane double-supported screw fixation method(BDSF)reduces the risk of fix-ation failure:clinical outcomes in 207 patients[J].Arch Orthop Trauma Surg,2017,137(6):779-788.
[4] JILANI L Z,ABBAS M B,SHAAN Z H,et al.Outcomes of BDSF technique for osteosynthesis of femoral neck frac-tures[J].Int J Burns Trauma,2023,13(3):149-155.
[5] SAMI A,PRABHAKAR R,KUMAR YADAV A,et al.Biplane double supported screw fixation for femoral neck fracture in young adults:a prospective cohort study[J].J Orthop,2022,33:117-123.
[6] FILIPOV O,GUEORGUIEV B.Unique stability of femoral neck fractures treated with the novel biplane double-supported screw fixation method:a biomechanical cadaver study[J].Injury,2015,46(2):218-226.
[7] LIN S,SHANG J,XING B,et al.Modified F configuration in the treatment of Pauwels typeⅢfemoral neck fracture:a finite element analysis[J].BMC Musculoskelet Disord,2021,22(1):758.
[8] 彭良貞,張鳳海.F形空心釘固定與傳統(tǒng)平行釘固定治療股骨頸骨折患者的效果比較[J].國際醫(yī)藥衛(wèi)生導報,2024,30(7):1142-1146.
[9] 趙興龍,申建軍,馮康虎,等.骨科機器人輔助下F釘技術與倒三角平行釘治療不穩(wěn)定型股骨頸骨折的療效比較[J].中國骨傷,2024,37(2):129-134.
[10] 祝文發(fā),劉鵬原,林賢梅,等.PauwelsⅢ型股骨頸骨折患者應用“F”形空心釘內固定術的治療效果[J].中外醫(yī)學研究,2023,21(20):38-42.
[11] 程文靜,丁國正,謝家兵,等.F形空心釘與傳統(tǒng)3枚平行釘治療PauwelsⅢ型,股骨頸骨折的療效比較[J].中國骨傷,2022,35(7):678-682.
[12] 陳建.關節(jié)鏡輔助下復位聯合經皮空心釘“F”形置釘技術內固定治療股骨頸骨折的效果研究[J].吉林醫(yī)學,2022,43(8):2086-2087.
[13] 陳方,劉修其,鄧鈺泓,等.空心拉力螺釘“F”形固定PauwelsⅢ型股骨頸骨折[J].中國矯形外科雜志,2022,30(10):954-957.
[14] 沈敏,曹曉東,顧建偉,等.雙平面固定在股骨頸骨折穩(wěn)定優(yōu)化中的療效分析[J].生物骨科材料與臨床研究,2022,19(4):26-30.
[15] 賀延雷,李強,李國良.“F”形空心釘與空心螺釘內固定治療股骨頸骨折的效果比較[J].醫(yī)學信息,2020,33(8):113-115.
[16] 王建,冉建,劉修信,等.空心釘“F”技術與倒三角形方式布釘治療股骨頸骨折的療效比較[J].中國矯形外科雜志,2016,24(24):2242-2246.
[17] CAO D,YIN J,YU P,et al.Treatment of PauwelsIII femoral neck fracture in young patients using biplane double support screw internal fixation technology based on X-ray image[J].Med Eng Phys,2024,125:104135.
[18] GARG S,TANK G.Role of biplane double-supported screw fixation(BDSF)in management of fracture neck femur and its comparison with conventional CC screw fixation[J].Indian J Orthop,2023,57(12):2011-2017.
[19] LY T V,SWIONTKOWSKI M F.Treatment of femoral neck fractures in young adults[J].J Bone Joint Surg Am,2008,90(10):2254-2266.
[20] 中華醫(yī)學會骨科學分會創(chuàng)傷骨科學組,中國醫(yī)師協會骨科醫(yī)師分會創(chuàng)傷專家工作委員會.成人股骨頸骨折診治指南[J].中華創(chuàng)傷骨科雜志,2018,20(11):921-928.
[21] 劉英科,陳勤,陳柯,等.兩種內固定治療PauwelsⅢ型股骨頸骨折的療效比較[J].臨床骨科雜志,2024,27(2):247-251.
[22] 劉英科,馬文龍,田可為,等.三種手術方式治療中青年PauwelsⅢ型股骨頸骨折的療效比較[J].中國修復重建外科雜志,2024,38(4):412-421.
[23] 沈正清,謝景凌,王旭東,等.空心釘結合內側支撐鋼板在PauwelsⅢ型股骨頸骨折中的應用[J].實用骨科雜志,2021,27(3):205-209.
[24] GARDEN R S.Low-angle fixation in fractures of the femoral neck[J].J Bone Joint Surg Br,1961,43(4):647-663.
[25] 許景紅,湯志輝,毛成鵬,等.“F”形空心釘內固定技術治療股骨頸骨折的有限元分析[J].實用骨科雜志,2018,24(6):516-518.
[26] 譚能賢,吳文正,鄭楚榮,等.不同空心加壓螺釘固定方式對股骨頸垂直型骨折的有限元分析[J].中國組織工程研究,2024,28(6):873-878.

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備注/Memo

備注/Memo:
基金項目:河南省醫(yī)學科技攻關計劃項目(LHGJ20230483); 河南省重點研發(fā)與推廣專項項目(182102310467); 河南省中醫(yī)藥科學研究專項課題(20-21ZY2253,20-21ZY2238)
通訊作者:陳柯 E-mail:[email protected]
更新日期/Last Update: 1900-01-01