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两颗螺钉用于股骨颈骨折固定是否足够？病例系列及文献综述。

Are two screws enough for fixation of femoral neck fractures? A case series and review of the literature.

作者信息

Xarchas K C, Staikos C D, Pelekas S, Vogiatzaki T, Kazakos K J, Verettas D A

机构信息

Orthopaedic Department, Democritus University of Thrace, Alexandroupolis, Greece.

出版信息

Open Orthop J. 2007 Nov 8;1:4-8. doi: 10.2174/1874325000701010004.

DOI:10.2174/1874325000701010004
PMID:19461902
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2684703/
Abstract

There is still a controversy in literature regarding the treatment of subcapital fractures of the hip with internal fixation. Different methods have been tested and studies such as in cadavers mainly prejudge the three cannulated screws application. We present a series of 20 patients in which percutaneous fixation with two parallel cannulated screws under specific technical conditions has led to an uneventful fracture union. No complications were observed at a one year follow-up. Reviewing the literature we found no previous clinical studies on the subject.

摘要

关于髋部头下型骨折的内固定治疗，文献中仍存在争议。已经测试了不同的方法，诸如在尸体上进行的研究主要预先判定了三枚空心螺钉的应用。我们报告了一组20例患者，在特定技术条件下采用两枚平行空心螺钉进行经皮固定，均实现了骨折顺利愈合。在一年的随访中未观察到并发症。回顾文献，我们未发现此前关于该主题的临床研究。

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本文引用的文献

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J Bone Joint Surg Br. 2005 May;87(5):632-4. doi: 10.1302/0301-620X.87B5.15237.
2
Optimum configuration of cannulated hip screws for the fixation of intracapsular hip fractures: a biomechanical study.空心加压髋螺钉固定囊内髋部骨折的最佳构型：一项生物力学研究
Injury. 2004 Feb;35(2):136-41. doi: 10.1016/s0020-1383(03)00059-7.
3
Two or three screws for fixation of femoral neck fractures?
肌肉骨骼系统介入肿瘤学：当前和未来的实践。
Br J Radiol. 2020 Nov 1;93(1115):20200465. doi: 10.1259/bjr.20200465. Epub 2020 Aug 12.
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Risk of bony violation with standard triple screw configurations for fixation of femoral neck fractures: A preliminary computed tomography based analysis.股骨颈骨折固定的标准三螺钉构型导致骨皮质破坏的风险：基于计算机断层扫描的初步分析
J Clin Orthop Trauma. 2020 Jul;11(Suppl 4):S546-S552. doi: 10.1016/j.jcot.2020.04.027. Epub 2020 May 5.
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Strength Analyses of Screws for Femoral Neck Fractures.股骨颈骨折螺钉的强度分析
J Med Biol Eng. 2018;38(5):816-834. doi: 10.1007/s40846-018-0378-x. Epub 2018 Apr 20.
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Author's reply.作者回复。
Indian J Orthop. 2014 Mar;48(2):229-31. doi: 10.4103/0019-5413.128780.
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