지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2022.8
- 수록면
- 744 - 750 (7page)
- DOI
- 10.3349/ymj.2022.63.8.744
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초록· 키워드
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Purpose: Although many studies have reported the use of dynamic hip screws (DHS) and cephalomedullary nailing (CMN) forbasicervical femoral neck fracture (BFNF), no clear treatment protocols have been recommended. The present study aimed tocompare the surgical outcomes associated with DHS and CMN to determine the appropriate fixation method for BFNF.
Materials and Methods: We systematically searched MEDLINE, Embase, and the Cochrane Library for studies published up toJanuary 9, 2021 that compared the treatment outcomes between CMN and DHS in BFNF. The primary outcomes of the presentmeta-analysis were fracture union time, postoperative cut-out rate, and reoperation rate.
Results: We included seven studies involving 353 cases of BFNF in our review. Of these, 206 patients were treated using CMN,and DHS were utilized in 147 patients. In a pooled analysis, the DHS group required a longer time to achieve fracture union com pared to the CMN group [mean difference (MD): -0.41; 95% confidence interval (CI): -0.70, -0.12; p=0.006; I2=0%]. However, thecut-out and reoperation rates exhibited no statistically significant differences between the DHS and CMN groups [cut-out odds ra tio (OR): 0.54; 95% CI: 0.10, 2.82; p=0.47; I2=24%, reoperation rate OR: 0.65; 95% CI: 0.15, 2.86; p=0.57; I2=19%, respectively].
Conclusion: Stable fixation using DHS and CMN does not show a significant clinical or radiographical difference in BFNF, andthe implant can be selected based on the surgeon’s preference.
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