Tian Peng, Kuang Lan, Li Zhi-Jun, Xu Gui-Jun, Fu Xin
Department of Traumatic Orthopedics, Tianjin Hospital, Tianjin, P.R. China.
Department of Orthopedics Emergency, Tianjin Hospital, Tianjin, P.R. China.
Geriatr Orthop Surg Rehabil. 2022 Jul 6;13:21514593221113533. doi: 10.1177/21514593221113533. eCollection 2022.
We performed a meta-analysis to compare the efficacy and safety of the femoral neck system (FNS) with cannulated cancellous screws (CCSs) in treating femoral neck fractures (FNFs) in controlled clinical trials.
Eligible scientific articles published prior to September 2021 were retrieved from the PubMed, Web of Science, Springer, ScienceDirect and Cochrane Library databases. The statistical analysis was performed with RevMan 5.1.
Seven retrospective studies met the inclusion criteria. Meta-analysis showed that there were significant differences in perioperative blood loss, the postoperative Harris score, healing time, fluoroscopy frequency, total complications, femoral head necrosis, femoral neck shortening and screw cutout. No significant differences were found regarding operation time, length of hospital stay or nonunion between the two groups.
Compared with CCSs, the FNS showed better clinical efficacy and fewer complications in treating FNFs. Due to the limited quality and data of the currently available evidence, more high-quality randomized controlled trials are needed.
我们进行了一项荟萃分析，以比较在对照临床试验中，股骨颈系统（FNS）与空心松质骨螺钉（CCS）治疗股骨颈骨折（FNF）的疗效和安全性。
从PubMed、Web of Science、Springer、ScienceDirect和Cochrane图书馆数据库中检索2021年9月之前发表的符合条件的科学文章。使用RevMan 5.1进行统计分析。
七项回顾性研究符合纳入标准。荟萃分析表明，两组在围手术期失血量、术后Harris评分、愈合时间、透视频率、总并发症、股骨头坏死、股骨颈缩短和螺钉穿出方面存在显著差异。两组在手术时间、住院时间或骨不连方面未发现显著差异。
与CCS相比，FNS在治疗FNF方面显示出更好的临床疗效和更少的并发症。由于现有证据的质量和数据有限，需要更多高质量的随机对照试验。
