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中华关节外科杂志(电子版) ›› 2018, Vol. 12 ›› Issue (06) : 791 -795. doi: 10.3877/cma.j.issn.1674-134X.2018.06.009

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综述

按骨折线倾斜角分型Ⅲ型青壮年股骨颈骨折的治疗进展
吴乾1, 袁振2,(), 郝跃峰2, 张林3   
  1. 1. 215123 苏州大学附属第一医院骨科
    2. 215123 苏州市立医院运动医学与康复中心
    3. 215123 苏州大学
  • 收稿日期:2017-11-06 出版日期:2018-12-01
  • 通信作者: 袁振

Clinical progress of Pauwels type Ⅲ for femoral neck fractures in young adults

Qian Wu1, Zhen Yuan2,(), Yuefeng Hao2, Lin Zhang3   

  1. 1. Department of Orthopaedics, The First Affiliated Hospital of Soochow University, Suzhou 215123, China
    2. Center of Sports Medicine and Rehabilitation, Suzhou Municipal Hospital, Suzhou 215123, China
    3. Soochow University, Suzhou 215123, China
  • Received:2017-11-06 Published:2018-12-01
  • Corresponding author: Zhen Yuan
  • About author:
    Corresponding author: Yuan Zhen, Email:
引用本文:

吴乾, 袁振, 郝跃峰, 张林. 按骨折线倾斜角分型Ⅲ型青壮年股骨颈骨折的治疗进展[J]. 中华关节外科杂志(电子版), 2018, 12(06): 791-795.

Qian Wu, Zhen Yuan, Yuefeng Hao, Lin Zhang. Clinical progress of Pauwels type Ⅲ for femoral neck fractures in young adults[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2018, 12(06): 791-795.

近年来随着交通方式及人们生活习惯的改变,青壮年股骨颈骨折的发生率逐年上升,且多为Pauwels Ⅲ型骨折。改良的Pauwels分型由于其较原方案更加稳定,被大多数骨科医师所接受,但其内固定方法多样,有空心加压螺钉、动力髋螺钉和经皮加压钢板等,尚没有1种金标准。新型的经皮加压钢板(PCCP)与以往术式相比,具有创伤小、出血少、抗旋性好、并发症少、早期死亡率低且具有更高的Harris评分等优点,但还需更多的随机、多中心和前瞻性试验以证实其临床可靠性。

In recent years, the incidence of femoral neck fractures in young adults has been increasing year by year due to changes in means of transportation and people’s living habits, and most of them are Pauwels type III fractures. The improved Pauwels classification is more stable than the original protocol and is accepted by most orthopedists. However, its internal fixation methods are various. There are hollow compression screws, dynamic hip screws, and percutaneous compression plates, and so on. But there is still no golden standard. The new internal fixation method named percutaneous compression plate (PCCP) has the advantages of less trauma, less bleeding, better anti-rotation, fewer complications, lower early mortality, and higher Harris score compared to previous surgical procedures. More randomized, multicenter, and prospective trials are still needed to confirm it.

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