[1]余波 周道政 包毅 陈华燕.股骨颈骨折内固定术后股骨颈短缩的影响因素分析[J].中国中医骨伤科杂志,2016,24(06):41-44.
　YU Bo ZHOU Daozheng BAO Yi CHEN Huayan.Shortening Factors of Femoral Neck after Hollow Screw Fixation of Femoral Neck Fracture[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2016,24(06):41-44.
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股骨颈骨折内固定术后股骨颈短缩的影响因素分析
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第24卷
期数:
2016年06期
页码:
41-44
栏目:
临床研究
出版日期:
2016-06-10

文章信息/Info

Title:
Shortening Factors of Femoral Neck after Hollow Screw Fixation of Femoral Neck Fracture
文章编号:
1005-0205(2016)06-0041-04
作者:
余波1 周道政1 包毅2 陈华燕1
1.重庆市开县人民医院骨科(重庆 开县,405400)
2.重庆市开县妇幼保健院
Author(s):
YU Bo1 ZHOU Daozheng1 BAO Yi2 CHEN Huayan1
1.Department of Orthopaedics, Chongqing Kaixian County People's Hospital, Kaixian 405400,Chongqing China;
2.Maternity and Child Care Hospital of Chongqing Kaixian, Kaixian 405400, Chongqing China.
关键词:
股骨颈骨折;  短缩;  骨密度;  内固定
Keywords:
femoral neck fractures;  shortening;  bone density;  internal fixation
分类号:
R683.41
文献标志码:
A
摘要:
目的:探究股骨颈骨折空心螺钉内固定术后股骨颈短缩的影响因素及其对髋关节功能及骨折愈合的影响。方法:回顾性分析2010年4月至2014年4月在本院行空心螺钉内固定的股骨颈骨折患者的临床资料,男44例,女76例; GardenⅠ型骨折20例,Garden Ⅱ型骨折22例,Garden Ⅲ型骨折33例,Garden Ⅳ型骨折45例; 平均骨密度值T为-2.8 SD,采用Harris评分评估患者髋关节功能,单因素分析及多因素回归分析股骨颈短缩的影响因素。结果:40例患者发生股骨颈短缩,短缩发生率为33.3%; 108例患者术后1年内骨折愈合,愈合率为90%; 所有患者术后Harris评分为25～95分,平均(79.6±11.1)分; 短缩组和非短缩组骨折愈合率差异无统计学意义(P>0.05),两组术后平均Harris评分差异有统计学意义(P<0.05),多因素回归分析提示股骨颈短缩的影响因素为患者年龄、性别、术前Garden分型、复位质量、骨密度值。结论:老年股骨颈骨折空心螺钉内固定术后股骨颈短缩率较高,股骨颈短缩会影响患者的髋关节功能,年龄、性别、术前Garden分型、复位质量、骨密度值均是股骨颈短缩的影响因素。
Abstract:
Objective: To explore the shortening factors of femoral neck after hollow screw fixation of femoral neck fracture and its influence for hip function and fracture healing. Methods: Analyze clinical data of patients taking hollow screw fixation of femoral neck fracture from April 2010 to April 2014 in our hospital, including 44 male cases and 76 female cases. There are 20 cases of Garden typeⅠ, 22 cases of Garden Ⅱ, 33 cases of Garden Ⅲ, and 45 cases of Garden IV. The mean T-score of bone mineral density was -2.8. Harris score was using to evaluate hip function of patients. Univariate analysis and multivariate regression analysis was used to explore the factors of femoral neck shortening. Results: Femoral neck shortening occurred in 40 cases and shortening rate was 33.3%. There were 108 patients having fracture healing during one year after the surgery and healing rate was 90%. The Harris scores range from 25 to 95 points(79.6±11.1). The fracture healing rate was no significant difference(P>0.05)between shortening groups and non-shortening groups. However, the postoperative Harris score difference was statistically significant(P<0.05). The multivariate regression analysis showed that the patient's age, gender, preoperative Garden classification, reset mass, bone density values was obviously associated with femoral neck shortening. Conclusion: The rate of femoral neck shortening was high after hollow screw fixation of femoral neck fracture. And it influenced hip function recovery. The patient's age, gender, preoperative Garden classification, reset mass, and T-values of bone mineral density are obviously associated with femoral neck shortening.

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更新日期/Last Update: 2016-06-15