Research progress in surgical treatment of femoral neck fracture in youth
MA Xianming1 HUANG Wenliang1 ZHANG Yong2 DENG Jiang1
1.The Third Affiliated Hospital of Zunyi Medical University the First People’s Hospital of Zunyi, Guizhou Province, Zunyi 563000, China;
2.Bozhou District People’s Hospital of Zunyi City, Guizhou Province, Zunyi 563100, China
Abstract：Femoral neck fractures in youth is mostly caused by high-energy injury, and there are various surgical treatments, such as traditional hollow compression screws, dynamic hip screws, percutaneous compression plates, and femoral neck compression locking bone plates, multiple hollow screws / Pauwels screws combined with fibular allograft, Smith & Nephew Conquest system, and Aesculap Targon system. However, no internal fixation method has been identified as the gold standard for the treatment of femoral neck fractures in youth. Therefore, this article reviews the commonly used treatment methods and the latest research of femoral neck fractures in youth, in order to provide a theoretical reference for the clinical treatment of femoral neck fracture in youth.
[1] 张弓，李松军，董杰.股骨颈加压锁定骨板与空心拉力螺钉治疗青年股骨颈骨折的效果比较[J].中国当代医药，2018，25（22）：25-28.
[2] Marsh JL，Slongo TF，Agel J，et al. Fracture and dislocation classification compendium-2007：Orthopaedic Trauma Association classification，database and outcomes committee [J]. J Orthop Trauma，2007，21（10 Suppl）：S1-S6，S133.
[3] Slobogean GP，Sprague SA，Scott T，et al. Complications following young femoral neck fractures [J]. Injury，2015， 46（3）：484-491.
[4] Schemitsch EH，Sprague S，Heetveld MJ，et al. Loss of Independence After Operative Management of Femoral Neck Fractures [J]. J Orthop Trauma，2019，33（6）：292-300.
[5] 吴乾，袁振，郝跃峰，等.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（6）：51-55.
[6] Schwarz N. Was bleibt von der Frakturklassifikation nach Pauwels? Eine kritische Literaturanalyse [Actual relevance of Pauwels’ classification of femoral neck fractures--a critical review [J]. Z Orthop Unfall，2010，148（2）：191-197.
[7] 鲜航，练克俭.青壮年股骨颈骨折手术治疗进展[J].医学综述，2017，23（8）：1585-1588，1594.
[8] Wang SH，Yang JJ，Shen HC，et al. Using a modified Pauwels method to predict the outcome of femoral neck fracture in relatively young patients [J]. Injury，2015，46（10）：1969-1974．
[9] Collinge CA，Mir H，Reddix R. Fracture morphology of high shear angle “vertical” femoral neck fractures in young adult patients [J]. J Orthop Trauma，2014，28（5）：270-275.
[10] Lein T，Bula P，Jeffries J，et al. Fractures of the femoral neck [J]. Acta Chir Orthop Traumatol Cech，2011，78（1）：10-19.
[11] Sobolev B，Guy P，Sheehan KJ，et al. Mortality effects of timing alternatives for hip fracture surgery [J]. CMAJ，2018，190（31）：923-932.
[12] Chan DS. Femoral Neck Fractures in Young Patients：State of the Art [J]. J Orthop Trauma，2019，33 Suppl 1：S7-S11.
[13] Rogmark C，Kristensen MT，Viberg B，et al. Hip fractures in the non-elderly-Who，why and whither? [J]. Injury，2018，49（8）：1445-1450.
[14] 张如意，唐佩福.空心加压螺钉在治疗股骨颈骨折中空间构型的综述[J].解放军医学院学报，2019，40（1）：91-94.
[15] Stacey SC，Renninger CH，Hak D，et al. Tips and tricks for ORIF of displaced femoral neck fractures in the young adult patient [J]. Eur J Orthop Surg Trauma，2016，26（4）：355-363.
[16] 王添兴，李国庆，汪洋，等.股骨颈骨折闭合复位空心加压螺钉内固定术后股骨头坏死的影响因素分析[J].实用骨科杂志，2019，25（2）：105-108，112.
[17] Duffin M，Pilson HT. Technologies for Young Femoral Neck Fracture Fixation [J]. J Orthop Trauma，2019，33 Suppl 1：S20-S26.
[18] Hartsock LA，Barfield WR. Re：Vertically Oriented Femoral Neck Fractures：A Biomechanical Comparison of 3 Fixation Constructs [J]. J Orthop Trauma，2017，31（9）：363-368.
[19] Stoffel K，Zderic I，Gras F，et al. Biomechanical Evaluation of the Femoral Neck System in Unstable Pauwels Ⅲ Femoral Neck Fractures: A Comparison with the Dynamic Hip Screw and Cannulated Screws [J]. J Orthop Trauma，2017，31（3）：131-137.
[20] Li Z，Zhang X，Li Z，et al. Comparative study of Pauwels type Ⅲ femoral neck fractures managed by short dynamic hip screw with fibula bone graft or cannulated screws in young adults [J]. Ann Transl Med，2020，8（11）：681.
[21] Arirachakaran A，Amphansap T，Thanindratarn P，et al. Comparative outcome of PFNA，Gamma nails，PCCP，Medoff plate，LISS and dynamic hip screws for fixation in elderly trochanteric fractures：a systematic review and network meta-analysis of randomized controlled trials [J]. Eur J Orthop Surg Traumatol，2017，27（7）：937-952.
[22] Xu K，Liu Y，Wang J，et al. Effectiveness of percutaneous compression plate fixation for femoral neck fractures [J]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi，2020，34（11）：1364-1368.
[23] 方世宇，张志勇，于光屹，等.经皮加压钢板与空心钉治疗股骨颈骨折的疗效对照研究[J].中国实用医药，2018，13（23）：71-72.
[24] 陈健.两种内固定术治疗中青年移位型股骨颈骨折的临床疗效对比[J].牡丹江医学院学报，2018，39（3）：79-81.
[25] 惠宇坚，独行业，芮敏，等.经皮加压钢板与空心加压螺钉治疗股骨颈骨折的近期疗效对比[J].承德医学院学报，2019，36（1）：41-43.
[26] 武潮.股骨颈加压锁定骨板在股骨颈骨折中的应用[J].吉林医学，2013，34（6）：1123.
[27] Lazaro LE，Birnbaum JF，Farshad-Amacker NA，et al. Endosteal biologic augmentation for surgical fixation of displaced femoral neck fractures [J]. J Orthop Trauma，2016，30（2）：81-88.
[28] Levack AE，Gausden EB，Dvorzhinskiy A，et al. Novel Treatment Options for the Surgical Management of Young Femoral Neck Fractures [J]. J Orthop Trauma，2019，33 Suppl 1（Suppl 1）：S33-S37.
[29] Biber R，Brem M，Bail HJ. Targon Femoral Neck for femoral-neck fracture fixation：lessons learnt from a series of one hundred and thirty five consecutive cases [J]. Int Orthop，2014，38（3）：595-599.
[30] Takigawa N，Yasui K，Eshiro H，et al. Clinical results of surgical treatment for femoral neck fractures with the Targon?誖 FN [J]. Injury，2016，47 Suppl 7：S44-S48.
[31] Eschler A，Brandt S，Gierer P，et al. Angular stable multiple screw fixation（Targon FN）versus standard SHS for the fixation of femoral neck fractures [J]. Injury，2014，45 Suppl 1：S76-S80.
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