. 2019 Aug 15;33(8):1033-1040.

doi: 10.7507/1002-1892.201901118.

[Research progress in treatment of femoral neck fracture in the elderly]

[Article in Chinese]

Yangyang Zhou¹, Yingjie Ni², Xingjuan Li³, Hui Chen¹, Yunfeng Rui⁴

Affiliations

¹ Department of Traumatic Orthopaedics, Zhongda Hospital, School of Medicine, Southeast University, Nanjing Jiangsu, 210009, P.R.China;Institute of Traumatic Orthopaedics, School of Medicine, Southeast University, Nanjing Jiangsu, 210009, P.R.China;Multidisciplinary Team (MDT) for Geriatric Hip Fracture Management, Zhongda Hospital, School of Medicine, Southeast University, Nanjing Jiangsu, 210009, P.R.China;Trauma Center, Zhongda Hospital, School of Medicine, Southeast University, Nanjing Jiangsu, 210009, P.R.China.
² Department of Orthopaedics, Xishan People's Hospital of Wuxi, Wuxi Jiangsu, 214105, P.R.China;Department of Orthopaedics, Wuxi Branch of Zhongda Hospital, School of Medicine, Southeast University, Nanjing Jiangsu, 214105, P.R.China.
³ Department of Geriatrics, Zhongda Hospital, School of Medicine, Southeast University, Nanjing Jiangsu, 210009, P.R.China.
⁴ Department of Traumatic Orthopaedics, Zhongda Hospital, School of Medicine, Southeast University, Nanjing Jiangsu, 210009, P.R.China;Institute of Traumatic Orthopaedics, School of Medicine, Southeast University, Nanjing Jiangsu, 210009, P.R.China;Multidisciplinary Team (MDT) for Geriatric Hip Fracture Management, Zhongda Hospital, School of Medicine, Southeast University, Nanjing Jiangsu, 210009, P.R.China;Trauma Center, Zhongda Hospital, School of Medicine, Southeast University, Nanjing Jiangsu, 210009, P.R.China;Department of Orthopaedics, Xishan People's Hospital of Wuxi, Wuxi Jiangsu, 214105, P.R.China;Department of Orthopaedics, Wuxi Branch of Zhongda Hospital, School of Medicine, Southeast University, Nanjing Jiangsu, 214105, P.R.China.ruiyunfeng@126.com.

PMID: 31407565
PMCID: PMC8337910
DOI: 10.7507/1002-1892.201901118

[Research progress in treatment of femoral neck fracture in the elderly]

[Article in Chinese]

Yangyang Zhou et al. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2019.

. 2019 Aug 15;33(8):1033-1040.

doi: 10.7507/1002-1892.201901118.

Authors

Yangyang Zhou¹, Yingjie Ni², Xingjuan Li³, Hui Chen¹, Yunfeng Rui⁴

Affiliations

¹ Department of Traumatic Orthopaedics, Zhongda Hospital, School of Medicine, Southeast University, Nanjing Jiangsu, 210009, P.R.China;Institute of Traumatic Orthopaedics, School of Medicine, Southeast University, Nanjing Jiangsu, 210009, P.R.China;Multidisciplinary Team (MDT) for Geriatric Hip Fracture Management, Zhongda Hospital, School of Medicine, Southeast University, Nanjing Jiangsu, 210009, P.R.China;Trauma Center, Zhongda Hospital, School of Medicine, Southeast University, Nanjing Jiangsu, 210009, P.R.China.
² Department of Orthopaedics, Xishan People's Hospital of Wuxi, Wuxi Jiangsu, 214105, P.R.China;Department of Orthopaedics, Wuxi Branch of Zhongda Hospital, School of Medicine, Southeast University, Nanjing Jiangsu, 214105, P.R.China.
³ Department of Geriatrics, Zhongda Hospital, School of Medicine, Southeast University, Nanjing Jiangsu, 210009, P.R.China.
⁴ Department of Traumatic Orthopaedics, Zhongda Hospital, School of Medicine, Southeast University, Nanjing Jiangsu, 210009, P.R.China;Institute of Traumatic Orthopaedics, School of Medicine, Southeast University, Nanjing Jiangsu, 210009, P.R.China;Multidisciplinary Team (MDT) for Geriatric Hip Fracture Management, Zhongda Hospital, School of Medicine, Southeast University, Nanjing Jiangsu, 210009, P.R.China;Trauma Center, Zhongda Hospital, School of Medicine, Southeast University, Nanjing Jiangsu, 210009, P.R.China;Department of Orthopaedics, Xishan People's Hospital of Wuxi, Wuxi Jiangsu, 214105, P.R.China;Department of Orthopaedics, Wuxi Branch of Zhongda Hospital, School of Medicine, Southeast University, Nanjing Jiangsu, 214105, P.R.China.ruiyunfeng@126.com.

PMID: 31407565
PMCID: PMC8337910
DOI: 10.7507/1002-1892.201901118

Abstract
in English, Chinese

Objective: To introduce the research progress of conservative treatment, internal fixation, hip arthroplasty, and multidisciplinary team (MDT) modes in the treatment of femoral neck fracture in the elderly.

Methods: By consulting domestic and foreign literature in recent years, the characteristics and application of various treatment methods and new treatment modes for femoral neck fracture in the elderly were summarized and analyzed.

Results: The elderly non-displaced femoral neck fracture should be treated surgically, and conservative treatment has a high risk of secondary displacement. The displaced fracture should be operated as soon as possible. There is no difference in long-term functional outcome between hemiarthroplasty and total hip arthroplasty. Hemiarthroplasty has less intraoperative blood loss, shorter operation time, and is suitable for the elderly patients with poor basic condition. Total hip arthroplasty is suitable for the elderly patients with better basic condition and higher demand of life quality. MDT can effectively reduce preoperative waiting time and length of stay, reduce the incidence of medical complications, improve the nutritional status of patients, and reduce the mortality of patients.

Conclusion: Significant results have been achieved in the treatment of femoral neck fractures in the elderly by methods such as internal fixation, hip arthroplasty, and MDT.

目的: 介绍保守治疗、内固定、人工关节置换术和多学科综合诊疗（multidisciplinary team，MDT）模式等治疗老年股骨颈骨折的研究进展。.

方法: 广泛查阅国内、外近年相关文献，对多种老年股骨颈骨折治疗方法、新治疗模式的特点和应用进行总结分析。.

结果: 老年非移位型股骨颈骨折应手术治疗，保守治疗继发移位风险高。移位型骨折则应尽早进行手术，人工半髋、全髋关节置换术后患者的远期功能结果没有差别。人工半髋关节置换术中出血量少、手术时间短，适合基础情况不佳的高龄患者；人工全髋关节置换术适合基础情况较好、对生活质量要求较高的老年患者。MDT 可有效减少患者术前等待时间和住院时间、降低内科并发症发生率、改善患者营养状况和降低患者死亡率。.

结论: 内固定、人工关节置换术等术式和 MDT 新模式用于老年股骨颈骨折的治疗均取得了显著成果。.

Keywords: Femoral neck fracture; conservative treatment; elderly patient; hip arthroplasty; internal fixation; multidisciplinary team.

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Conflict of interest statement

利益冲突：所有作者声明，在课题研究和文章撰写过程中不存在利益冲突。基金经费支持没有影响文章观点。

References

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[Research progress in treatment of femoral neck fracture in the elderly]

Affiliations

[Research progress in treatment of femoral neck fracture in the elderly]

Authors

Affiliations

Abstract
in English, Chinese

Conflict of interest statement

References

MeSH terms

LinkOut - more resources

Full Text Sources

Medical

Abstract in English, Chinese

Conflict of interest statement

References

MeSH terms

LinkOut - more resources

Full Text Sources

Medical

Abstract
in English, Chinese