中国临床保健杂志2017，Vol.20Issue(3)：261-263,3.DOI:10.3969/J.issn.1672-6790.2017.03.010
老年股骨颈骨折患者内固定术后发生股骨头坏死的危险因素
Risk factors analysis of femoral head necrosis in elderly femoral neck fracture patients after internal fixation
摘要
Abstract
Objective To investigate the risk factors of femoral head necrosis in elderly femoral neck fracture patients after internal fixation,and provide scientific reference for clinical treatment and prevention.Methods 192 cases of elderly femoral neck fracture patients treated by closed reduction and internal fixation were retrospectively analyzed.The femoral head necrosis ratio of patients was account,and patients were divided into femoral head necrosis group (36 cases) and non femoral head necrosis group (156 cases).The clinical data of gender,age,underlying diseases,fractures lateralization,fracture type,injury to surgery time,reduction quality,and internal fixation taken out or not were selected.And univariate and Logistic multifactor analysis were carried out to analysis risk factors.Results All patients were followed-up for 1 to 3 years,36 cases (18.8%) occurred femoral head necrosis,and the occurrence time was (1.1±0.4) years.Univariate analysis showed:age,male,high fracture type,injury to surgery time>1 week,poor reduction quality,internal fixation not taken out were the risk factors of femoral head necrosis in patients.Logistic multivariate analysis showed that:fracture displacement,injury to surgery time>1 week,poor reduction quality,internal fixation taken out were the independent risk factor of femoral head necrosis in patients.Conclusion The elderly patients with femoral neck fractures after internal fixation are likely to occurre femoral head necrosis,and fracture displacement,injury to surgery time>1 week,poor reduction quality,internal fixation taken out are the independent risk factor of femoral head necrosis.关键词
股骨颈骨折/骨折固定术,内/股骨头坏死/危险因素Key words
Femoral neck fractures/Fracture fixation/internal/Femur head necrosis/Risk factors分类
医药卫生引用本文复制引用
刘宏,代立武,汤睿,刘沛,张体怡..老年股骨颈骨折患者内固定术后发生股骨头坏死的危险因素[J].中国临床保健杂志,2017,20(3):261-263,3.基金项目
湖北省卫生厅科研项目 (130917) （130917）
