给编辑的信：Calcar 骨折间隙增宽：股骨转子间骨折顺行股骨近端髓内钉固定后前内侧皮质支撑失败的可靠预测指标。
Letter to the editor: Calcar fracture gapping: a reliable predictor of anteromedial cortical support failure after cephalomedullary nailing for pertrochanteric femur fractures.
机构信息
Division of Physical Medicine and Rehabilitation, Okayama University Hospital, Okayama, Japan.
Scientific Research Works Peer Support Group (SRWS-PSG), Osaka, Japan.
出版信息
BMC Musculoskelet Disord. 2022 Jul 28;23(1):720. doi: 10.1186/s12891-022-05688-w.
Abstract
A recently published article by Song H et al. investigated the risk factors for anteromedial cortical support loss in pertrochanteric fractures treated with cephalomedullary nails. In this Correspondence, we would like to raise some concerns. Specifically, calcar fracture gap and anteromedial cortical support are different concepts in evaluating reduction quality. In addition, calcar fracture gap using immediate postoperative radiographic images has measurement bias. Lastly, explanatory variables selected for multivariable analysis are inappropriate. We would like to discuss and suggest solutions for these problems.
摘要
最近，Song H 等人发表了一篇文章，研究了使用股骨近端髓内钉治疗转子间骨折时前内侧皮质支持丢失的风险因素。在这封交流信件中，我们想提出一些关注。具体来说，骺环骨折间隙和前内侧皮质支持是评估复位质量的不同概念。此外，使用即刻术后影像学图像测量骺环骨折间隙存在测量偏倚。最后，多变量分析中选择的解释变量也不合适。我们想对此进行讨论并提出解决方案。
相似文献
1
Letter to the editor: Calcar fracture gapping: a reliable predictor of anteromedial cortical support failure after cephalomedullary nailing for pertrochanteric femur fractures.给编辑的信：Calcar 骨折间隙增宽：股骨转子间骨折顺行股骨近端髓内钉固定后前内侧皮质支撑失败的可靠预测指标。
BMC Musculoskelet Disord. 2022 Jul 28;23(1):720. doi: 10.1186/s12891-022-05688-w.
2
Calcar fracture gapping: a reliable predictor of anteromedial cortical support failure after cephalomedullary nailing for pertrochanteric femur fractures.Calcar 骨折间隙增宽：股骨粗隆间骨折顺行髓内钉固定后前内侧皮质支撑失败的可靠预测指标。
BMC Musculoskelet Disord. 2022 Feb 24;23(1):175. doi: 10.1186/s12891-021-04873-7.
3
In response to letter to the editor: calcar fracture gapping: a reliable predictor of anteromedial cortical support failure after cephalomedullary nailing for pertrochanteric femur fractures.针对来信编辑：距骨骨折分离：股骨转子间骨折髓内钉固定后前内侧皮质支撑失败的可靠预测指标。
BMC Musculoskelet Disord. 2022 Jul 28;23(1):721. doi: 10.1186/s12891-022-05689-9.
4
Low filling ratio of the distal nail segment to the medullary canal is a risk factor for loss of anteromedial cortical support: a case control study.远节指骨骨段在髓腔内填充不足是失去前内侧皮质支撑的危险因素：一项病例对照研究。
J Orthop Surg Res. 2022 Jan 15;17(1):27. doi: 10.1186/s13018-022-02921-z.
5
[Standard radiographic images in cephalomedullary nailing fixation for intertrochanteric femoral fractures].[股骨转子间骨折髓内钉固定的标准影像学图像]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2024 Sep 15;38(9):1130-1137. doi: 10.7507/1002-1892.202405004.
6
Risk of shortening in operatively treated proximal femur fractures with cephalomedullary nails with dynamically versus statistically locked helical blades.动力锁定与静态锁定髓内钉治疗股骨近端骨折的股骨短缩风险比较。
Injury. 2023 Feb;54(2):669-676. doi: 10.1016/j.injury.2022.12.009. Epub 2022 Dec 9.
7
Impingement and perforation of the anterior femoral cortex in cephalomedullary nailing: Systematic review and surgical techniques.股骨干近端交锁髓内钉固定术中股骨前皮质的撞击与穿孔：系统评价与手术技术。
Orthop Traumatol Surg Res. 2023 Apr;109(2):103505. doi: 10.1016/j.otsr.2022.103505. Epub 2022 Dec 7.
8
Is a Cephalomedullary Nail Durable Treatment for Patients With Metastatic Peritrochanteric Disease?经股骨转子间骨折内固定治疗转移性股骨转子周围疾病的效果是否持久？
Clin Orthop Relat Res. 2018 Dec;476(12):2392-2401. doi: 10.1097/CORR.0000000000000523.
9
Hip fractures following intramedullary nailing fixation for femoral fractures.股骨干骨折髓内钉固定术后的髋部骨折。
Injury. 2022 Mar;53(3):1190-1195. doi: 10.1016/j.injury.2021.10.024. Epub 2021 Oct 31.
10
Medium-Term Outcomes of a Forward-Striking Technique to Reduce Fracture Gaps during Long Cephalomedullary Nailing in Subtrochanteric Femoral Fractures.顺行打入技术减少股骨转子下骨折髓内钉固定骨折间隙的中期结果。
Injury. 2022 Oct;53(10):3423-3429. doi: 10.1016/j.injury.2022.07.031. Epub 2022 Jul 20.
引用本文的文献
1
In response to letter to the editor: calcar fracture gapping: a reliable predictor of anteromedial cortical support failure after cephalomedullary nailing for pertrochanteric femur fractures.针对来信编辑：距骨骨折分离：股骨转子间骨折髓内钉固定后前内侧皮质支撑失败的可靠预测指标。
BMC Musculoskelet Disord. 2022 Jul 28;23(1):721. doi: 10.1186/s12891-022-05689-9.
本文引用的文献
1
Pre-and postoperative factors associated with functional outcomes in patients with posterior malleolar fractures.与后踝骨折患者功能结局相关的术前和术后因素。
Injury. 2022 Jun;53(6):2297-2303. doi: 10.1016/j.injury.2022.02.046. Epub 2022 Mar 2.
2
Calcar fracture gapping: a reliable predictor of anteromedial cortical support failure after cephalomedullary nailing for pertrochanteric femur fractures.Calcar 骨折间隙增宽：股骨粗隆间骨折顺行髓内钉固定后前内侧皮质支撑失败的可靠预测指标。
BMC Musculoskelet Disord. 2022 Feb 24;23(1):175. doi: 10.1186/s12891-021-04873-7.
3
Postoperative computed tomography assessment of anteromedial cortex reduction is a predictor for reoperation after intramedullary nail fixation for pertrochanteric fractures.术后 CT 评估前内侧皮质骨丢失是髓内钉固定治疗股骨转子间骨折后再次手术的预测因素。
Eur J Trauma Emerg Surg. 2022 Apr;48(2):1437-1444. doi: 10.1007/s00068-021-01718-9. Epub 2021 May 31.
4
Anteromedial cortical support reduction in unstable pertrochanteric fractures: a comparison of intra-operative fluoroscopy and post-operative three dimensional computerised tomography reconstruction.不稳定型股骨转子间骨折的前内侧皮质支撑复位：术中透视与术后三维计算机断层扫描重建的比较
Int Orthop. 2018 Jan;42(1):183-189. doi: 10.1007/s00264-017-3623-y. Epub 2017 Sep 10.
5
Fracture reduction with positive medial cortical support: a key element in stability reconstruction for the unstable pertrochanteric hip fractures.具有正向内侧皮质支撑的骨折复位：不稳定型股骨转子间髋部骨折稳定性重建的关键要素。
Arch Orthop Trauma Surg. 2015 Jun;135(6):811-8. doi: 10.1007/s00402-015-2206-x. Epub 2015 Apr 4.
Zotero 插件