临床误诊误治2024,Vol.37Issue(17) :86-91.DOI:10.3969/j.issn.1002-3429.2024.17.015

股骨颈骨折后股骨头坏死影响因素研究进展

Research Progress on Influencing Factors of Femoral Head Necrosis after Femoral Neck Fracture

张瑾峰 贾俊青 顾晓东 凌云
临床误诊误治2024,Vol.37Issue(17) :86-91.DOI:10.3969/j.issn.1002-3429.2024.17.015

股骨颈骨折后股骨头坏死影响因素研究进展

Research Progress on Influencing Factors of Femoral Head Necrosis after Femoral Neck Fracture

张瑾峰 1贾俊青 1顾晓东 1凌云2
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作者信息

  • 1. 030032 太原,山西医科大学第三医院(山西白求恩医院山西医学科学院同济山西医院)骨科
  • 2. 030604 山西晋中,榆次区中医院骨科
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摘要

股骨颈骨折是股骨头坏死(ONFH)的主要原因之一,老年股骨颈骨折患者可以选择人工股骨头置换术或全髋关节置换术治疗.但对于年轻股骨颈骨折患者,骨折常由暴力引起,且考虑到他们未来生活质量与关节功能,关节置换术并不是首选的治疗方法,髓芯减压术、截骨术、带血管骨移植术等保髋治疗成为更适合的治疗选择.近年来股骨颈骨折的发病年龄呈现年轻化趋势.了解股骨颈骨折后ONFH的影响因素,有助于指导管理决策,早期预测和评估有助于早期治疗.本文将近年研究股骨颈骨折导致ONFH的机制与影响因素的相关文献做一综述,以提高临床医生对股骨颈骨折患者发生ONFH的认识、预防ONFH的发生.

Abstract

Femoral neck fracture is one of the major causes of osteonecrosis of the femoral head(ONFH).Elderly patients with femoral neck fracture can choose artificial femoral head replacement or total hip replacement for treatment.How-ever,for young patients with femoral neck fracture,the fracture is often caused by violence,and considering their future quali-ty of life and joint function,joint replacement is not the preferred choice of treatment.Coxa decompression,osteotomy,and vascularized bone transplantation are more appropriate treatment options for hip preservation.In recent years,the age of onset of femoral neck fracture shows a trend towards younger age.Understanding the influencing factors of ONFH after femoral neck fracture is helpful to guide management decision,and early prediction and evaluation is helpful for early treatment.This article reviews the relevant literature on the mechanism and influencing factors of ONFH caused by femoral neck fracture,so as to im-prove clinicians'understanding of ONFH in patients with femoral neck fracture and prevent the occurrence of ONFH.

关键词

股骨颈骨折/股骨头坏死/发病机制/血供/影响因素分析/综述

Key words

Femoral neck fracture/Osteonecrosis of the femoral head/Pathogenesis/Blood supply/Analysis of in-fluencing factors/Review

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基金项目

山西省基础研究计划项目(20210302123488)

出版年

2024
临床误诊误治
解放军白求恩国际和平医院

临床误诊误治

CSTPCD
影响因子:0.914
ISSN:1002-3429
参考文献量2
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