期刊文献+

老年股骨颈骨折患者的循证治疗分析 被引量:2

Evidence - based treatment for elderly patient with femoral neck fracture
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摘要 目的为老年股骨颈骨折患者制定倨证治疗方案。方法在充分评估患者病情后,进行临床提问,计算机检索Cochrane图书馆(2008年4月),PubMed(2002年至2010年),Medline(2000年至2010年)和Embase(2000年至2010年),Tripdatabase,Oviddatabase和ACP(AmericanCollegeofphysicians)onlinejournal关于股骨颈骨折治疗的循证临床指南,RCT(Randomizedcon—trolledtrial),系统评价和Meta分析,并评价其质量,获取最佳证据用于临床治疗。结果共检出关于股骨颈骨折的8篇系统评价,9篇Meta分析,1篇循证治疗指南,2篇RCT。结合患者实际情况,制定出儋证治疗方案。结论采用儋证治疗方法,可为患者确定合理而安全的治疗方案。 Objective To develop an evidence - based treatment for an elderly patient with femoral neck fracture. Method Based on the clinical question raised by a elderly patient with femoral neck fracture, we searched PubMed ( 2000 - 2010 ) , Cochrane ( 2008.4), Mcdline (2000 - 2010 ), Embase (2000 2010 ), Trip database, Ovid database and ACP online journal for related systematic review, RCT and meta - analysis. Then the evidence was assessed to obtain high - quality evidence for clinical treatment. Results A total of 1 evidence -based guideline ,2 RCT,8 systematic reviews and 9 meta- analyses were included. Based on these data and conditions of the individual patient, an evidence - based treatment plan was developed. Conclusion Using an evidence - based method, a rational and safe treatment strategy can be drawn for elderly patient with femoral neck fracture.
出处 《临床外科杂志》 2011年第6期423-425,共3页 Journal of Clinical Surgery
关键词 老年 股骨颈骨折 META分析 系统评价 elderly femoral neck fracture meta - analysis systimatic review
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参考文献19

  • 1Beaupre LA, Jones CA, Saunders LD, et al. Best practices for elderly hip fracture patients a systematic overview of the evidence [ J ]. J Gen Intern Med ,2005,20( 11 ) :1019-1025.
  • 2Alho A. Concurrent ipsilateral fractures of the hip and femoral shaft : a meta -analysis of 659 cases [ J ]. Acta Orthopaedica Scandinavica, 1996,67 ( 1 ) : 19-28.
  • 3Wang J, Jiang B. Arthroplasty or internal fixation for displaced femoral neck fractures:which is the optimal alternative for elderly patients? A meta -analysis [ J ]. lnt Orthop ,2009,33 ( 5 ) : 1179 -1187.
  • 4Bhandari M, Devereaux PJ, Swiontkowski MF, et al. Internal fixation compared with arthroplasty for displaced fractures of the femoral neck. A meta -analysis[ J]. J Bone Joint Surg Am,2003,85-A(9) :1673-1681.
  • 5Rogmark C ,Johnell O. Primary arthroplasty is better than internal fixation of displaced femoral neck fractures A meta -analysis of 14 randomized studies with 2,289 patients [ J ]. Acta Orthop ,2006,77 (3) :359-367.
  • 6Bhandari M, Devereaux PJ,Tometta P 3rd, et al. Operative management of displaced femoral neck fracture in elderly patients. An international survey [ J ]. J Bone Joint Surg Am,2005,87 ( 9 ) : 2122 -2130.
  • 7顾剑华,沈灏,陈云苏,张先龙.人工髋关节置换治疗老年股骨颈骨折的Meta分析[J].中华创伤杂志,2008,24(9):709-714. 被引量:12
  • 8Ahn J, Man LX, Park S, et al. Systematic review of cemented and unce-mented hemiarthroplasty outcomes for femoral neck fractures [ J ]. Clin Orthop Relat Res,2008,466(10) :2513-2518.
  • 9Morshed S, Bozic KJ, Ries MD, et al. Comparison of cemented and unce-mented fixation in total hip replacement :a meta -analysis [ J ]. Acta Or-thopaedica,2007,78 ( 3 ) : 315 -326.
  • 10Damany DS, Parker MJ, Chojnowski A, et al. Complications after intra-capsular hip fractures in young aduhs:a meta-analysis of 18 published studies involving 564 fractures[ J]. Injury ,2005,36 ( 1 ) : 131-141.

二级参考文献14

  • 1王满宜,危杰.股骨颈骨折临床研究的若干问题与新概念[J].中华创伤骨科杂志,2003,5(1):5-9. 被引量:292
  • 2沈彬,杨静,裴福兴.人工股骨头置换术后全髋关节翻修术的临床研究[J].中华外科杂志,2006,44(20):1407-1410. 被引量:16
  • 3I.ee K B, Howe T S, Chang H C. Cancellous screw fixation for femoral neck fractures: one hundred and sixteen patients[J]. Ann Acad Med Singapore, 2004,33 : 248-251.
  • 4Maurer S G, Wright K E, Kummer F J, Zuckerman J D, Koval K J. Two or three screws for fixation of femoral neck fractures[J].Am J Orthop,2003,32:438-442.
  • 5Nikolopoulos K E,Papadakis S A,Kateros K T, Themistocleus G S,Vlamis J A,Papagelopoulos P J. Long-term outcome of patients with avascular necrosis after internal fixation of femoral neck fractures[J]. Injury, 2003,34:525-528.
  • 6Bachiller F G, Caballer A P, Potal L F.Avascular necrosis of the femoral head after femoral neck fracture[J].Clin Orthop, 2002(399) :87-109.
  • 7Beris A E,Paytakes A H,Kostopoulos V K,Korompilias A V, Mavrodontidis A N,Vekris M D, et al . Non-union of femoral neck fractures with osteonecrosis of the femoral head: treatment with combined free vaseularized fibular grafting and subtrochanteric valgus osteotomy [J]. Orthop Clin North Am, 2004,35 : 335-343.
  • 8郑召民 卢旭华 董天华.成人股骨头坏死后塌陷的发病机制早期预测及防治进展.中国矫形外科杂志,2005,13:915-917.
  • 9Roden M,Schon M, Fredin H. Treatment of displaced femoral neck fractures: a randomized minimum 5-year follow-up study of screws and bipolar hemiprostheses in 100 patients[J]. Acta Orthop Seand, 2003,74 : 42- 44.
  • 10Szita J, Cserhdti P, Bosch U, Manninger J, Bodazy T, Fekete K. Intracapsular femoral neck fractures: the importance of early reduction and stable osteosynthesis[J]. Injury,2002,33:41-46.

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