中国组织工程研究2016，Vol.20Issue(13)：1954-1960,7.DOI:10.3969/j.issn.2095-4344.2016.13.018
人工关节置换与内固定修复老年股骨转子间骨折的Meta分析
A meta-analysis of arthroplastyversus internal fixation in treatment of intertrochanteric fracture in the elderly
孙友强 1邵敏 2何伟 3虎群盛 1陈雷雷 3余翔1
作者信息
- 1. 广州中医药大学，广东省广州市 510405
- 2. 广州中医药大学第三附属医院关节骨科，广东省广州市 510240
- 3. 广州中医药大学第一附属医院髋关节中心，广东省广州市 510405
- 折叠
摘要
Abstract
BACKGROUND:Intertrochanteric fracture is one of the most common fractures in older adults. The surgical treatment methods include artificial joint replacement (total hip and femoral head replacement) and internal fixation (proximal femoral nail anti-rotation and dynamic hip screw), but there is no clear evidence to evaluate the effect of them. OBJECTIVE: To compare the effect difference of arthroplasty and internal fixation in the treatment of intertrochanteric fracture in the elderly people. METHODS:We retrieved randomized controled studies on artificial joint replacement (total hip and femoral head replacement) and internal fixation (proximal femoral nail anti-rotation and dynamic hip screw) in the treatment of intertrochanteric fracture from 1990 to 2015. Meta-analysis was used to compare operation time, intraoperative bleeding volume, one-year postoperative Harris hip scores, and one-year postoperative complication between the arthroplasty and internal fixation. RESULTS AND CONCLUSION:(1) Twenty-one studies were included. (2) Intraoperative bleeding volume and one-year postoperative Harris hip scores were higher in the arthroplasty group than in the internal fixation group. (3) Operation time was similar between the arthroplasty and internal fixation groups. (4) Complication rate was lower in the arthroplasty group than in the internal fixation group. Incidence of complications was closed between the arthroplasty and internal fixation groups. (5) Results suggested that the effect of arthroplasty was better than internal fixation for treating intertrochanteric fracture in the elderly. However, prospective large-sample long-term randomized controled trials are needed for verification.关键词
骨科植入物/人工假体/老年股骨转子间骨折/关节置换/内固定/手术时间/出血量/Harris评分/术后并发症分类
医药卫生引用本文复制引用
孙友强,邵敏,何伟,虎群盛,陈雷雷,余翔..人工关节置换与内固定修复老年股骨转子间骨折的Meta分析[J].中国组织工程研究,2016,20(13):1954-1960,7.
