标题：空心螺钉治疗青年股骨颈骨折研究进展

      作者：刘金月 综述 彭笳宸 审校    遵义医科大学附属医院关节外科，贵州 遵义 563000

      卷次： 2020年31卷4期

      【摘要】 随着社会的发展进步，由高能量暴力损伤导致的青年股骨颈骨折(FNF)患者数量逐渐增多，由于其特殊的解剖结构，术后骨折断端骨不连、骨坏死机率较高，且鉴于年轻患者术后活动量较大，功能预期较高，如何选择更合适的治疗方案，对骨科医生提出较大挑战。对于较年轻的患者，总的趋势是进行复位和内固定治疗，以尽量保护原有髋关节。空心钉内固定已成为青年FNF首选固定方式，然而，对于部分股骨颈垂直剪切骨折的年轻患者，其复位、固定方式存在较大争议，螺钉的方向、数量、配置、分布方式均可能影响骨折的稳定性，随着对股骨颈骨折生物力学和临床研究的深入，空心钉固定的手术效果逐渐提升，本文综述了国内外近年来使用空心钉固定青年FNF的相关研究进展。
      【关键词】 股骨颈骨折；青年；空心钉；内固定；研究进展
      【中图分类号】 R683.42 【文献标识码】 A 【文章编号】 1003—6350（2020）04—0512—04

Advances in the treatment of young femoral neck fractures with cannulated screws.
LIU Jin-yue, PENG Jia-chen.Department of Joint Surgery, the Affiliated Hospital of Zunyi Medical University, Zunyi 563000, Guizhou, CHINA【Abstract】 With the development of society, the number of young femoral neck fractures (FNF) caused byhigh-intensity violence is gradually increasing. Due to its special anatomical structure, the incidence of nonunion and os-teonecrosis of the fracture ends is higher. Young patients have a large amount of postoperative activity and high function-al expectations. How to choose a more appropriate treatment plan poses a major challenge for orthopedic surgeons. Foryounger patients, the general trend is to perform reduction and internal fixation to protect the original hip joint as muchas possible. Hollow nail internal fixation has become the preferred fixation method for young FNF. However, for someyoung patients with vertical femoral neck fracture, the reduction and fixation methods are controversial. The direction,number, configuration and distribution of the screws may affect the stability of the fracture. With the deepening of thebiomechanical and clinical research of femoral neck fractures, the effect of cannulated screw fixation is gradually im-proved. This paper reviews the recent research progress in the use of cannulated nails to fix young FNF.
      【Key words】 Femoral neck fractures (FNF); Youth; Cannulated nail; Internal fixation; Research progress·综述·doi:10.3969/j.issn.1003-6350.2020.04.028基金项目：国家自然科学基金(编号：8176090241)