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骨水泥型半髋关节置换术在股骨颈骨折中的应用。

Use of Cemented Hemiarthroplasty for Femoral Neck Fractures.

作者信息

Amin Sheena J, Krumme John K, Gause L Nathan, Dubin Jonathan R, Cil Akin

机构信息

From the Department of Orthopaedics, University of Missouri-Kansas City, Kansas City, MO (Dr. Amin, Dr. Krumme, Dr. Gause, Dr. Dubin, and Dr. Cil), and the Department of Orthopaedics, Kansas City Orthopaedic Alliance, Leawood, KS (Dr. Krumme).

出版信息

J Am Acad Orthop Surg Glob Res Rev. 2025 Jan 3;9(1). doi: 10.5435/JAAOSGlobal-D-24-00183. eCollection 2025 Jan 1.

DOI:10.5435/JAAOSGlobal-D-24-00183
PMID:39805137
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11706589/
Abstract

Geriatric femoral neck fractures are common orthopaedic injuries, which are associated with a high morbidity and mortality. Arthroplasty is the optimum treatment for many of these injuries, but debate exists regarding optimal surgical strategy. Multiple recent investigations have demonstrated strong superiority for cemented stems as compared with noncemented fixation with a decreased risk of periprosthetic fracture, shorter length of stay, lower cost, and decreased rate for revision surgery. The main purpose of this article is to refamiliarize the resident or practicing surgeon with cemented arthroplasty by reviewing the basic science of cement, common cementing concerns, and outcomes, as well as by providing tips on cementing technique to ensure safe, simple, and reproducible results.

摘要

老年股骨颈骨折是常见的骨科损伤，其发病率和死亡率都很高。关节置换术是治疗其中许多损伤的最佳方法，但关于最佳手术策略仍存在争议。最近的多项研究表明，与非骨水泥固定相比，骨水泥柄具有显著优势，可降低假体周围骨折风险、缩短住院时间、降低成本并减少翻修手术率。本文的主要目的是通过回顾骨水泥的基础科学、常见的骨水泥相关问题及结果，以及提供骨水泥技术技巧以确保安全、简单且可重复的结果，让住院医师或执业外科医生重新熟悉骨水泥关节置换术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fa6/11706589/9da6fe0dd2f6/jagrr-9-e24.00183-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fa6/11706589/add225d6f4f7/jagrr-9-e24.00183-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fa6/11706589/83c8b9772aac/jagrr-9-e24.00183-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fa6/11706589/9da6fe0dd2f6/jagrr-9-e24.00183-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fa6/11706589/add225d6f4f7/jagrr-9-e24.00183-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fa6/11706589/83c8b9772aac/jagrr-9-e24.00183-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fa6/11706589/9da6fe0dd2f6/jagrr-9-e24.00183-g003.jpg

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本文引用的文献

1
The Comparison between Cemented and Uncemented Hemiarthroplasty in Patients with Femoral Neck Fractures: A Systematic Review and Meta-analysis of Randomized Controlled Trials.骨水泥型与非骨水泥型半髋关节置换术治疗股骨颈骨折的比较：随机对照试验的系统评价和荟萃分析。
Orthop Surg. 2023 Jul;15(7):1719-1729. doi: 10.1111/os.13716. Epub 2023 May 8.
2
Cemented vs Uncemented hemiarthroplasties for femoral neck fractures: An overlapping systematic review and evidence appraisal.骨水泥型与非骨水泥型人工股骨头置换术治疗股骨颈骨折的比较：一项重叠的系统评价和证据评估。
PLoS One. 2023 Feb 24;18(2):e0281090. doi: 10.1371/journal.pone.0281090. eCollection 2023.
3
A systematic review and meta-analysis of cemented and uncemented bipolar hemiarthroplasty for the treatment of femoral neck fractures in elderly patients over 60 years old.
一项关于骨水泥型和非骨水泥型双极半髋关节置换术治疗60岁以上老年患者股骨颈骨折的系统评价和荟萃分析。
Front Med (Lausanne). 2023 Feb 2;10:1085485. doi: 10.3389/fmed.2023.1085485. eCollection 2023.
4
Cementation in total hip arthroplasty: history, principles, and technique.全髋关节置换术中的骨水泥固定：历史、原理与技术。
EFORT Open Rev. 2022 Dec 7;7(11):747-757. doi: 10.1530/EOR-22-0002.
5
The Influence of a Modified 3rd Generation Cementation Technique and Vaccum Mixing of Bone Cement on the Bone Cement Implantation Syndrome (BCIS) in Geriatric Patients with Cemented Hemiarthroplasty for Femoral Neck Fractures.改良第三代骨水泥注入技术和骨水泥真空搅拌对老年股骨颈骨折骨水泥半髋关节置换术后骨水泥植入综合征（BCIS）的影响。
Medicina (Kaunas). 2022 Nov 3;58(11):1587. doi: 10.3390/medicina58111587.
6
AAOS Management of Hip Fractures in Older Adults Evidence-based Clinical Practice Guideline.美国矫形外科医师学会《老年人髋部骨折管理：循证临床实践指南》
J Am Acad Orthop Surg. 2022 Oct 15;30(20):e1297-e1301. doi: 10.5435/JAAOS-D-22-00273.
7
Comparing Outcomes in Cemented and Press-Fit Hemiarthroplasty.骨水泥型与压配型半关节置换术的疗效比较
J Am Acad Orthop Surg. 2022 Oct 15;30(20):979-983. doi: 10.5435/JAAOS-D-21-01178. Epub 2022 May 10.
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J Arthroplasty. 2022 Jul;37(7S):S536-S539. doi: 10.1016/j.arth.2022.03.005. Epub 2022 Mar 9.
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N Engl J Med. 2022 Feb 10;386(6):521-530. doi: 10.1056/NEJMoa2108337.
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EFORT Open Rev. 2021 May 4;6(5):331-342. doi: 10.1302/2058-5241.6.200086. eCollection 2021 May.