短柄非骨水泥型股骨柄在股骨颈骨折全髋关节置换术中的应用：文献综述
The use of short cementless femoral stems in total hip arthroplasty for femoral neck fractures: a scoping review of the literature.
作者信息
Corradi Nicola, Trimarchi Alberto, Manca Federica, Martini Ilaria, Colombelli Andrea, Belluati Alberto
机构信息
U.O.C. Ortopedia e Traumatologia, Ospedale Umberto I, Lugo (Ra), Italy.
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出版信息
Musculoskelet Surg. 2025 Aug 9. doi: 10.1007/s12306-025-00917-6.
BACKGROUND
Short cementless femoral stems, designed for bone-preserving elective THA, are increasingly used for femoral neck fractures, yet their safety and effectiveness remain unclear.
OBJECTIVE
To map current evidence on short cementless stems in fracture-related THA, focusing on complications, function, and revisions.
METHODS
MedLine and Web of Science were searched to 30 April 2025. Studies reporting ≥ 5 THAs with short cementless stems for femoral neck fractures were included; data were charted and narratively synthesized.
RESULTS
Five studies (477 short-stem, 70 standard-stem THAs; mean age 63 years; mean follow-up 65 months) met criteria. Short stems showed a 4.4% complication rate (0.6% intra-op fractures, 0.6% dislocations, 2.1% aseptic loosening) and 3.7% reoperations. Mean Harris Hip Score was 86.8-comparable to standard stems-with fewer surgical complications (4.4 vs. 15.7%).
CONCLUSION
Current evidence suggests short cementless stems are a safe, effective option for selected femoral neck fracture patients, but higher-quality, long-term studies are needed.
背景
为保留骨质的择期全髋关节置换术设计的短柄非骨水泥型股骨柄越来越多地用于股骨颈骨折，但它们的安全性和有效性仍不明确。
目的
梳理骨折相关全髋关节置换术中短柄非骨水泥型股骨柄的现有证据，重点关注并发症、功能和翻修情况。
方法
检索MedLine和Web of Science至2025年4月30日。纳入报告≥5例使用短柄非骨水泥型股骨柄治疗股骨颈骨折的全髋关节置换术的研究；对数据进行图表整理并进行叙述性综合分析。
结果
五项研究（477例短柄、70例标准柄全髋关节置换术；平均年龄63岁；平均随访65个月）符合标准。短柄组并发症发生率为4.4%（术中骨折0.6%、脱位0.6%、无菌性松动2.1%），再次手术率为3.7%。平均Harris髋关节评分86.8分，与标准柄组相当，但手术并发症较少（4.4%对15.7%）。
结论
现有证据表明，短柄非骨水泥型股骨柄对部分股骨颈骨折患者是一种安全、有效的选择，但需要更高质量的长期研究。
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