[1]骆国钢 林忠勤 谢海风 陈伟凯 姚剑川 张鸿振△.外侧入路生物型髋关节置换术治疗股骨颈骨折术中股骨假体周围骨折的危险因素分析[J].中国中医骨伤科杂志,2020,28(03):32-35.
　LUO Guogang LIN Zhongqin XIE Haifeng CHEN Weikai YAO Jianchuan ZHANG Hongzhen.Risk Factors and Prevention Strategies of Intraoperative Periprosthetic Femoral Fractures in Patients with Femoral Neck Fracture Undergoing Lateral Approach Bio-hip Arthroplasty[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2020,28(03):32-35.
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外侧入路生物型髋关节置换术治疗股骨颈骨折术中股骨假体周围骨折的危险因素分析()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第28卷
期数:
2020年03期
页码:
32-35
栏目:
临床研究
出版日期:
2020-03-01

文章信息/Info

Title:
Risk Factors and Prevention Strategies of Intraoperative Periprosthetic Femoral Fractures in Patients with Femoral Neck Fracture Undergoing Lateral Approach Bio-hip Arthroplasty
文章编号:
1005-0205(2020)03-0032-04
作者:
骆国钢1 林忠勤1 谢海风1 陈伟凯1 姚剑川1 张鸿振1△
1浙江中医药大学附属温州中西医结合医院 (浙江 温州,325000)
Author(s):
LUO Guogang1 LIN Zhongqin1 XIE Haifeng1 CHEN Weikai1 YAO Jianchuan1 ZHANG Hongzhen1△
1Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine,Wenzhou 325000,Zhejiang China.
关键词:
股骨颈骨折;  关节成形术;  股骨假体周围骨折;  危险因素
Keywords:
femoral neck fractures;  arthroplasty;  periprosthetic femoral fractures;  risk factors
分类号:
R683
文献标志码:
A
摘要:
目的:探讨外侧入路生物型髋关节置换术治疗股骨颈骨折术中发生股骨假体周围骨折的相关危险因素。 方法:回顾性分析2014年1月至2018年11月因为股骨颈骨折行外侧入路生物型髋关节置换术患者464例(男98例,女366例),平均年龄为(80.37±8.87)岁; 骨折类型Garden Ⅱ型39例,Garden Ⅲ型298例,Garden Ⅳ型127例。根据术中及术后首次X线片检查是否发生假体周围骨折将患者分为研究组和对照组,比较两组患者的一般资料,对影响假体周围骨折的各因素进行多因素Logistic回归分析。 结果:464例中共28例患者发生股骨假体周围骨折,发生率为6.03%(28/464)。与对照组比较,研究组骨质疏松患者术中骨折的发生率高于非骨质疏松患者,差异有统计学意义(P<0.05); 半髋关节置换术术中骨折的发生率高于全髋关节置换术患者,差异有统计学意义(P<0.05); 不同性别、年龄、左右侧别、主刀医生、假体类型术中股骨假体周围骨折发生率的差异无统计学意义(P>0.05)。多因素Logistic回归分析结果显示:手术方式[OR=2.303,95%CI为(0.874,6.069),P=0.092]并不构成独立危险因素,骨质疏松[OR=7.947,95%CI为(1.540,41.003),P=0.013]是假体周围骨折的独立危险因素。结论:骨质疏松及骨量减少是引发外侧入路生物型髋关节置换术治疗老年股骨颈骨折术中股骨假体周围骨折的主要危险因素。
Abstract:
Objective:To analyze the risk factors of intraoperative periprosthetic femoral fractures in patients with femoral neck fracture undergoing bio-hip arthroplasty by lateral approach.Methods:464 patients with femoral neck fracture were treated by bio-hip arthroplasty of lateral approach from January 2014 to November 2018.They were 98 males and 366 females with average age of(80.37±8.87)years.Garden type Ⅱ were 39 cases,type Ⅲ were 298 cases and Garden type Ⅳ were 127 cases.All patients were divided into a fracture group and a non-fracture group according to the presence or absence of the periprosthetic fracture.Multivariate logistic regression analyses were done to identify the influencing factors associated with periprosthetic femoral fracture in these two groups.Results:The incidence of intraoperative periprosthetic femoral fractures was 6.03%(28/464).Compared with the non-fracture group,Osteoporosis or Hemiarthroplasty was significantly more severe in the fracture group(P<0.05).There was no significant difference in the incidence of periprosthetic femoral fractures among sex,age,left and right sides,chief knife surgeon and prosthetic types(P>0.05).Multivariate Logistic regression analyses revealed that Half or total hip [OR=2.303,95%CI=(0.874,6.069),P=0.092]were not independent risk factors,but osteoporosis[OR=7.947,95%CI=(1.540,41.003),P=0.013]were independent risk factors.Conclusion:Osteoporosis and osteopenia are major risk factors for periprosthetic femoral fractures in elderly patients undergoing bio-hip arthroplasty by lateral approach.

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备注/Memo

备注/Memo:
△通信作者 E-mail:zhanghongzhen1968@163.com
更新日期/Last Update: 2020-03-01