股骨转子间骨折内固定术后头颈钉位置评估的研究进展

doi:10.20223/j.cnki.1000-8535.2025.09.001

广州医药 ›› 2025, Vol. 56 ›› Issue (9): 1158-1164.DOI: 10.20223/j.cnki.1000-8535.2025.09.001

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股骨转子间骨折内固定术后头颈钉位置评估的研究进展

黄建文, 杨运发

华南理工大学附属第二医院（广州市第一人民医院）骨科（广东广州 510180）

收稿日期:2024-12-04 出版日期:2025-09-20 发布日期:2025-10-31
通讯作者: 杨运发,E-mail：eyyangyunfa@scut.edu.cn
作者简介:杨运发医学博士,美国匹兹堡大学访问学者,骨科主任医师,博士生导师,博士后合作导师,华南理工大学附属第二医院（广州市第一人民医院）大外科副主任兼骨科主任;广东省医学会显微外科学分会第九届委员会主任委员,中华医学会显微外科学分会第十一届委员会委员;广东省医学会创伤骨科学分会常委兼骨盆髋部损伤学组副组长;AO Trauma国际会员;《中华显微外科杂志》《中国临床解剖学杂志》《广州医药》编委;《中华创伤骨科杂志》通讯编委;主持科研课题9项,获广东省科技进步二等奖等科技奖励6项;第一作者或通讯作者发表SCI收录论文17篇,主译出版专著1部,第一发明人获授权国家专利6项;熟练掌握骨科微创、显微、修复和重建技术,擅长骨关节损伤、缺损、肿瘤、感染、畸形等骨科疑难疾病的诊断与治疗。
基金资助:
广州市临床特色技术项目（2023C-TS32）; 广州市临床高新技术联合建设项目（2024PL-GX11）; 广州市科技局基础与应用研究重点项目（2024A03J1179）

Advances in evaluation methods for cephalic fixator position in femoral intertrochanteric fractures after internal fixation

HUANG Jianwen, YANG Yunfa

Department of Orthopaedic Surgery, Guangzhou First People’s Hospital, the Second Affiliated Hospital, School of Medicine, South China University of Technology, Guangzhou 510180, China

Received:2024-12-04 Online:2025-09-20 Published:2025-10-31

摘要/Abstract

摘要： 股骨转子间骨折是最常见的髋部骨折,内固定手术为其目前治疗的首选方式。头颈钉位置是评估手术效果和判断治疗预后的重要因素,合适的置钉位置有利于稳定骨折、加速康复以及改善预后。目前头颈钉位置最经典的评估方式为尖顶距（TAD）,但TAD至今仍存在较多争议。近年来提出的轴刀角、尖颈距离比、偏心距（ED）以及标准化TAD（STAD）为临床实践拓展了新视野。文章通过对上述头颈钉位置的评估方法及局限性进行文献综述,旨在为临床手术置钉时提供相应的参考。ED和STAD的提出,为未来人工智能评估头颈钉位置提供了可能。

关键词: 股骨转子间骨折, 内固定, 头颈钉位置, 人工智能

Abstract: Femoral intertrochanteric fracture is one of the most common hip fractures,and the internal fixation is the preferred treatment. The position of cephalic fixator is an important factor to evaluate the effect of operation and the prognosis of treatment. Tip-apex-distance（TAD）is the most classical method to evaluate the position of cephalic fixator,but it is still controversial. In recent years,the axis-blade angle,tip-neck distance ratio,eccentric distance（ED）and standardized TAD（STAD）have been proposed,though with limitations,they also provide a new perspective for clinical practice. In this study,we reviewed the literature on the evaluation of the position of cephalic fixator in order to provide the corresponding references and guidance for the clinical operation of internal fixation. Both STAD and ED may be the theoretical possibility of artificial intelligence evaluation of the position of cephalic fixator in the future.

Key words: intertrochanteric fractures, internal fixation, cephalic fixator position, artificial intelligence

黄建文, 杨运发. 股骨转子间骨折内固定术后头颈钉位置评估的研究进展[J]. 广州医药, 2025, 56(9): 1158-1164.

HUANG Jianwen, YANG Yunfa. Advances in evaluation methods for cephalic fixator position in femoral intertrochanteric fractures after internal fixation[J]. Guangzhou Medical Journal, 2025, 56(9): 1158-1164.

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股骨转子间骨折内固定术后头颈钉位置评估的研究进展

Advances in evaluation methods for cephalic fixator position in femoral intertrochanteric fractures after internal fixation

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