Xiao-Jian Wang,Zhi-Hua Zhang,Lu Li,Yun-Xing Su,Lei Wei.[J].Chin J Traumatol,2017,20(6):347-351. [doi]
Quadratus femoris muscle pedicle bone flap transplantation in the treatment offemoral neck fracture for Chinese young and middle-aged patients: A systematicreview and meta-analysis
  
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KeyWord: Femoral neck fracturesQuadratus femoris muscleMyocutaneous flapFracture fixationMeta-analysis
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Author NameAffiliation
Xiao-Jian Wang Department of Orthopedics, Affiliated People's Hospital of Shanxi Medical University, Taiyuan 030012, China
Department of Orthopedics, Second Hospital of Shanxi Medical University, Shanxi Key Laboratory of Bone and Soft Tissue Injury Repair, Taiyuan 030009, China 
Zhi-Hua Zhang Department of Orthopedics, Affiliated People's Hospital of Shanxi Medical University, Taiyuan 030012, China 
Lu Li Department of Orthopedics, Affiliated People's Hospital of Shanxi Medical University, Taiyuan 030012, China 
Yun-Xing Su Department of Orthopedics, Second Hospital of Shanxi Medical University, Shanxi Key Laboratory of Bone and Soft Tissue Injury Repair, Taiyuan 030009, China 
Lei Wei Department of Orthopedics, Affiliated People's Hospital of Shanxi Medical University, Taiyuan 030012, China 
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Abstract:
      Purpose: To compare the efficacy of quadratus femoris muscle pedicle bone flap transplantation combined with hollow compression screw fixation versus AO hollow compression screw fixation in the treatment of femoral neck fracture for Chinese young and middle-aged patients. Methods: Case-controlled studies (CCTs) were used to compare the two operative methods in the treatment of femoral neck fractures. Data were retrieved from the Cochrane Library, Pubmed Database, CNKI, Chinese Biomedical Database. Wanfang Data published during the period of January 2005 to December 2014. Methodological quality of the trials was critically assessed, and relevant data were extracted. Statistical Software Revman 5.0 was used for data-analysis. Results: Eight articles were included in the meta-analysis. The results showed that there was statistical significance in the rate of fracture healing [OR = 5.43, 95% CI (2.89, 10.20), p < 0.05], the rate of good function of hip joint [OR = 5.12, 95% CI (3.21, 8.17), p < 0.05], the rate of femoral head necrosis [OR = 4.21, 95% CI (2.02, 8.76), p < 0.05], the time of fracture healing [WMD = 46.85, 95% CI ( 65.13, 28.56), p < 0.05] between the two groups. Conclusions: For the treatment of femoral neck fractures, the transplantation of quadratus femoris muscle pedicle bone flap combined with hollow compression screw; fixation is superior to the AO hollow compression screw fixation in terms of the rate; of fracture healing, the rate of good function of hip joint, the rate of femoral head; necrosis and the time of fracture healing.
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