Muscle pedicle bone flap transplantation for treating femoral neck fracture in adults: a systematic review.
Muscle pedicle bone flap transplantation for treating femoral neck fracture in adults: a systematic review.
复制标题
肌蒂骨瓣移植治疗成人股骨颈骨折：系统评价
DOI：
10.1186/s13018-021-02448-9
复制
发表时间：
2021-05-08
影响因子：
2.6
通讯作者：
Cai X
中科院分区：
文献类型：
--
作者：
Wu Y;Song M;Peng G;Xu Y;Li Y;Wei M;Tang H;Lv Q;Wang T;Cai X
本系统综述旨在收集有关肌蒂骨瓣移植治疗成人股骨颈骨折有效性的现有证据。
检索了PubMed、EMBASE、IEEE、Web of Science和Cochrane图书馆等数据库，检索时间从建库至2021年3月。两名评审员独立筛选关于评估肌蒂骨瓣移植治疗股骨颈骨折有效性的干预性研究；评审员还根据卫生经济研究所质量评估清单进行数据提取和方法学质量评估。通过计算平均比率评估有效性和并发症结果。
总体而言，本综述纳入了20项研究，共1022例患者。值得注意的是，纳入研究的方法学质量普遍较差。平均有效率如下：优，73.4%；良，15.4%；差，10.9%。此外，平均骨不连率、平均缺血性坏死率、平均塌陷率和总体再次手术率分别为9.0%、6.7%、4.7%和7.3%。
对患者数量和手术技术各异的不同质研究进行的这项系统综述表明，肌蒂骨瓣移植效果良好，缺血性坏死和骨不连发生率较低。然而，需要进一步的对照研究来确定肌蒂骨瓣移植治疗股骨颈骨折的有效性。
BackgroundThis systematic review was conducted to gather available evidence on the effectiveness of muscle pedicle bone flap transplantation in adult patients with femoral neck fractures.MethodsDatabases such as PubMed, EMBASE, IEEE, Web of Science, and Cochrane library were searched from their dates of inception until March 2021. Two reviewers independently selected the interventional studies on the assessment of the effectiveness of muscle pedicle bone flap transplantation for femoral neck fractures; data extraction and assessment of the methodological quality as per the Institute of Health Economics quality appraisal checklist were also performed by the reviewers. The effectiveness and complication outcomes were assessed by calculating the average rates.ResultsOverall, 20 studies with 1022 patients were included in this review. Notably, the methodologic quality of the included studies was typically poor. The average effective rates were as follows: good, 73.4%; fair, 15.4%; and poor, 10.9%. Moreover, the average nonunion rate, average avascular necrosis rate, average collapse rate, and the overall reoperation rate were 9.0%, 6.7%, 4.7%, and 7.3%, respectively.ConclusionsThis systematic review of heterogeneous studies with varying number of patients and varying surgical techniques indicated that muscle pedicle bone flap transplantation provides promising results with low rates of avascular necrosis and nonunion. Nevertheless, further controlled studies are required to ascertain the effectiveness of muscle pedicle bone flap transplantation in treating femoral neck fracture.
登录
查看更多内容
影响因子：
1
作者：
Baksi DD;Pal AK;Baksi DP
通讯作者：
Baksi DP
DOI：
10.2106/00004623-197355020-00002
发表时间：
1973-01-01
影响因子：
5.3
作者：
MEYERS, MH;HARVEY, JP;MOORE, TM
通讯作者：
MOORE, TM
影响因子：
1
作者：
Ly TV;Swiontkowski MF
通讯作者：
Swiontkowski MF
DOI：
10.1007/s00590-013-1384-x
发表时间：
2014-10-01
期刊：
European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
影响因子：
--
作者：
Nair, Naveen;Patro, D K;Babu, Thirunavukkarasu Arun
通讯作者：
Babu, Thirunavukkarasu Arun
影响因子：
1
作者：
Bhuyan BK
通讯作者：
Bhuyan BK