股骨颈骨折的治疗策略及研究进展

Treatment Strategy and Research Progress of Femoral Neck Fracture

摘要: 随着人口老龄化的加剧，股骨颈骨折在老年人中的发生率不断上升，成为公共健康问题。本综述论文通过对21篇关于股骨颈骨折治疗策略及研究进展的论文进行分类与分析，旨在为临床治疗提供指导和改进对策。文章首先探讨了老年股骨颈骨折的治疗策略及疗效比较，比较了骨折内固定术与半髋关节置换术，指出各自的优缺点并提供了实证基础。其次，文章对骨折治疗技术及手术疗效的研究进行了综述，如新型髋臼四边区解剖锁定接骨板治疗髋臼骨折的临床应用等。此外，文章还涉及了特定类型的骨折或非编码RNA在骨科领域的研究，如对炎症相关非编码RNA在骨关节炎软骨退变中的作用进行了探究。本综述为未来股骨颈骨折治疗的发展趋势、策略选择和治疗效果比较提供了新的研究视角和科学依据。

Abstract: As the problem of population aging intensifies, the incidence of femoral neck fractures in the elderly is rising, becoming a public health concern. This review paper synthesizes 21 articles on the treatment strategies and research progress of femoral neck fractures, aiming to guide and improve clinical treatments. Initially, the review explores treatment strategies and efficacy comparisons for femoral neck fractures in the elderly by contrasting internal fixation surgery with hemiarthroplasty, highlighting their strengths and limitations with an evidence base. Next, it reviews advancements in fracture treatment techniques and surgical outcomes, such as the clinical application of new anatomical locking plates for treating acetabular fractures. Furthermore, the review covers specific types of fractures and non-coding RNA research in orthopedics, such as the role of inflammation-related non-coding RNAs in cartilage degradation in osteoarthritis. This comprehensive review provides new perspectives and scientific evidence for the future trends, strategy selection, and comparative effectiveness in the treatment of femoral neck fractures.