内固定治疗中老年股骨颈骨折的临床进展  

Clinical progress of internal fixation in the treatment of femoral neck fracture in middle-aged and elderly patients

作　　者：严天骄 金宇杰 孙超 周晓强 胥正泉[1] 陈广祥[1] 张向鑫[1] Yan Tianjiao;Jin Yujie;Sun Chao;Zhou Xiaoqiang;Xu Zhenquan;Chen Guangxiang;Zhang Xiangxin(Department of Joint Surgery,the Affiliated Suzhou Hospital of Nanjing Medical University(Suzhou Municipal Hospital),Gusu School,Nanjing Medical University,Suzhou 215000,China)

机构地区：[1]南京医科大学姑苏学院南京医科大学附属苏州医院(苏州市立医院)关节外科,苏州215000

出　　处：《国际外科学杂志》2024年第3期196-202,共7页International Journal of Surgery

基　　金：苏州市临床重点病种诊疗技术专项项目(LCZX201618)。

摘　　要：中老年股骨颈骨折患者常患有基础疾病,保守治疗会明显增加并发症发生率,目前多主张采用手术治疗。内固定手术是中老年股骨颈骨折患者的有效治疗方法之一,具有改善髋关节功能、加速患者康复、提高患者生活质量等优势。目前国内外内固定术式选择较多,各有优劣,尚未统一标准,根据骨折类型、患者身体状况及手术辅助技术等多种因素可选择不同的手术方式。本文将从中老年患者股骨颈骨折的特点、常用内固定方式、3D打印导板辅助技术及人工智能辅助技术4个方面,对中老年股骨颈骨折内固定治疗的临床进展进行综述。Middle-aged and elderly patients with femoral neck fracture often suffer from basic diseases.Conservative treatment will significantly increase the incidence of complications.At present,surgical treatment is mostly advocated.Internal fixation is one of the effective treatment methods for middle-aged and elderly patients with femoral neck fracture.It has the advantages of improving hip joint function,accelerating patient recovery,and improving patient quality of life.At present,there are many choices of internal fixation in the world,each has its own advantages and disadvantages,and there is no unified standard.Different surgical methods can be selected according to various factors such as fracture type,patient′s physical condition and surgical auxiliary technology.This article reviews the clinical progress of internal fixation for femoral neck fractures in middle-aged and elderly patients from four aspects:the characteristics of femoral neck fractures in middle-aged and elderly patients,common internal fixation methods,3D printing guide plate auxiliary technology and artificial intelligence auxiliary technology.

关 键 词：股骨颈骨折 内固定器 综述 中老年 

分 类 号：R687.3[医药卫生—骨科学]