股骨头关节骨折的处理:全面系统回顾

Indra Hadi Rapmartua Ompusunggu, Yosie Yulanda Putra, Ahsan Auliya
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摘要

背景:股骨头骨折(FHFs)是一种相对罕见的损伤,通常由高能量创伤引起。股骨头骨折通常发生在髋关节后脱位之后,约有 5 至 15 例髋关节后脱位涉及股骨头骨折。FHFs 也可能与髋臼骨折同时发生,估计发生率为 29。目的:本研究旨在介绍关节型股骨头骨折的治疗方法。方法:通过与《2020 年系统综述和荟萃分析首选报告项目》(PRISMA)所设定的标准进行比较,本研究能够表明其符合所有要求。因此,专家们能够确保该研究尽可能是最新的。在这种搜索方法中,2014 年至 2024 年间发表的出版物被纳入考虑范围。为此,我们使用了多个不同的在线参考资料来源,如 Pubmed 和 SagePub。决定不考虑评论文章、已发表的作品或仅完成一半的作品。结果在 PubMed 数据库中,我们的搜索结果为 17 篇文章,而在 SagePub 上的搜索结果为 489 篇文章,在 Google Scholar 上的搜索结果为 8050 篇文章。筛选前删除的记录为 5860 条,因此筛选后得到 2696 篇文章。根据排除记录进行筛选后,我们共整理出 12 篇论文。我们收录了五项符合标准的研究。结论通过甘孜方法对股骨头骨折进行开放复位和内固定术治疗髋关节脱位是一种可行的治疗方法,效果令人满意,并发症发生率低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ARTICULAR FEMORAL HEAD FRACTURE MANAGEMENT: A COMPREHENSIVE SYSTEMATIC REVIEW
Background: Femoral head fractures (FHFs) are relatively rare injuries usually caused by high-energy trauma. They typically occur after a posterior dislocation, and approximately 5 to 15 of posterior hip dislocations involve FHFs. FHFs may also occur simultaneously with acetabular fractures, with an estimated incidence of 29.2 In addition, the incidence of ipsilateral femoral head and neck fractures (iFHNF) is low. However, iFHNFs, as a special type of fracture, have the worst prognosis among all FHFs The aim: The aim of this study to show about articular femoral head fracture management. Methods: By comparing itself to the standards set by the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020, this study was able to show that it met all of the requirements. So, the experts were able to make sure that the study was as up-to-date as it was possible to be. For this search approach, publications that came out between 2014 and 2024 were taken into account. Several different online reference sources, like Pubmed and SagePub, were used to do this. It was decided not to take into account review pieces, works that had already been published, or works that were only half done. Result: In the PubMed database, the results of our search get 17 articles, whereas the results of our search on SagePub get 489 articles, on Google Scholar 8050 articles. Records remove before screening are 5860, so we get 2696 articles fos screening. After we screened based on record exclude, we compiled a total of 12 papers. We included five research that met the criteria. Conclusion: Open reduction and internal fixation of femoral head fracture using surgical hip dislocation through Ganz approach is a viable treatment option and provides satisfactory results with low complication rates.
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