成年人股骨颈骨折分型的研究进展

Current study on classification of femoral neck fractures in adults

成年人股骨颈骨折的治疗仍然是目前创伤骨科医生面临的一项艰难挑战,不同治疗方案的治疗效果不同。治疗效果受多种因素影响,如年龄、性别、术前身体状况等,其中股骨颈骨折的分型方法对治疗方案选择及预后判断具有重要指导作用。目前临床上经典的成年人股骨颈骨折分型方法主要有Garden分型、AO/OTA分型及Pauwels分型等。近年来,随着科技的进步,一些先进的技术应用于临床,如CT、MRI、数字减影血管造影等,从而出现了新的分型方法,但各自都存在不足,有待于完善。本文就成年人股骨颈骨折分型的研究进展及治疗原则作一综述。

Treatment of adult femoral neck fracture is still a great challenge faced by trauma orthopedists.As treatment effects can be infleunced by multiple factors,like age,gender and preoperative physical condition,they may vary with different treatment schemes.Classification of femoral neck fractures plays an important guiding role in choosing a proper treatment scheme and judging the prognosis.The current classic clinical classification systems for femoral neck fractures include Garden,AO/OTA and Pauwels classifications.Since the recent progress in science and technology has put more advanced technologies into clinic application,such as CT,MRI and Digital Subtraction Angiography(DSA),new ways of classification have appeared.However,each classification has its own shortcomings which need to be improved.This paper reviews the research progress in classification of adult femoral neck fractures and their treatment principles.