中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2015年
35期
5658-5662
,共5页
植入物%骨植入物%髋内翻%股骨转子间骨折%内固定%影响因素
植入物%骨植入物%髖內翻%股骨轉子間骨摺%內固定%影響因素
식입물%골식입물%관내번%고골전자간골절%내고정%영향인소
Femoral Neck Fractures%Internal Fixators%Regression Analysis
背景：股骨转子间骨折患者内固定治疗后易发生髋内翻，关于股骨转子间骨折的文献中，对手术方式的研究较多，而对其内固定后髋内翻的影响因素研究较少。<br> 目的：分析股骨转子间骨折患者内固定治疗后髋内翻的影响因素，探讨有效的预防措施。<br> 方法：选取接受内固定治疗的股骨转子间骨折患者80例。将患者的年龄、性别、体质量指数、骨折分型、骨密度、受伤至内固定时间、内固定方式、小转子复位情况、术后负重时间作为因变量进行赋值，内固定后是否发生髋内翻作为因变量，进行单因素分析，并进行Logistic回归分析。<br> 结果与结论：所有患者内固定后随访6个月以上。共12例患者内固定后发生髋内翻，发生率为15%，发生时间1-4个月。髋内翻角度94°-107°，平均99.1°。分析结果显示，骨折分型、骨密度、内固定后负重时间是股骨转子间骨折患者内固定治疗后髋内翻的影响因素(P <0.05)；年龄、性别、体质量指数、受伤至手术时间、内固定方式、小转子复位情况不是股骨转子间骨折患者内固定治疗后髋内翻的影响因素(P>0.05)。将患者是否发生髋内翻作为因变量，将骨折分型、骨密度、内固定后负重时间作为自变量进行Logistic回归分析，结果显示骨折分型、骨密度、内固定后负重时间是引起股骨转子间骨折患者内固定治疗后髋内翻的独立危险因素。
揹景：股骨轉子間骨摺患者內固定治療後易髮生髖內翻，關于股骨轉子間骨摺的文獻中，對手術方式的研究較多，而對其內固定後髖內翻的影響因素研究較少。<br> 目的：分析股骨轉子間骨摺患者內固定治療後髖內翻的影響因素，探討有效的預防措施。<br> 方法：選取接受內固定治療的股骨轉子間骨摺患者80例。將患者的年齡、性彆、體質量指數、骨摺分型、骨密度、受傷至內固定時間、內固定方式、小轉子複位情況、術後負重時間作為因變量進行賦值，內固定後是否髮生髖內翻作為因變量，進行單因素分析，併進行Logistic迴歸分析。<br> 結果與結論：所有患者內固定後隨訪6箇月以上。共12例患者內固定後髮生髖內翻，髮生率為15%，髮生時間1-4箇月。髖內翻角度94°-107°，平均99.1°。分析結果顯示，骨摺分型、骨密度、內固定後負重時間是股骨轉子間骨摺患者內固定治療後髖內翻的影響因素(P <0.05)；年齡、性彆、體質量指數、受傷至手術時間、內固定方式、小轉子複位情況不是股骨轉子間骨摺患者內固定治療後髖內翻的影響因素(P>0.05)。將患者是否髮生髖內翻作為因變量，將骨摺分型、骨密度、內固定後負重時間作為自變量進行Logistic迴歸分析，結果顯示骨摺分型、骨密度、內固定後負重時間是引起股骨轉子間骨摺患者內固定治療後髖內翻的獨立危險因素。
배경：고골전자간골절환자내고정치료후역발생관내번，관우고골전자간골절적문헌중，대수술방식적연구교다，이대기내고정후관내번적영향인소연구교소。<br> 목적：분석고골전자간골절환자내고정치료후관내번적영향인소，탐토유효적예방조시。<br> 방법：선취접수내고정치료적고골전자간골절환자80례。장환자적년령、성별、체질량지수、골절분형、골밀도、수상지내고정시간、내고정방식、소전자복위정황、술후부중시간작위인변량진행부치，내고정후시부발생관내번작위인변량，진행단인소분석，병진행Logistic회귀분석。<br> 결과여결론：소유환자내고정후수방6개월이상。공12례환자내고정후발생관내번，발생솔위15%，발생시간1-4개월。관내번각도94°-107°，평균99.1°。분석결과현시，골절분형、골밀도、내고정후부중시간시고골전자간골절환자내고정치료후관내번적영향인소(P <0.05)；년령、성별、체질량지수、수상지수술시간、내고정방식、소전자복위정황불시고골전자간골절환자내고정치료후관내번적영향인소(P>0.05)。장환자시부발생관내번작위인변량，장골절분형、골밀도、내고정후부중시간작위자변량진행Logistic회귀분석，결과현시골절분형、골밀도、내고정후부중시간시인기고골전자간골절환자내고정치료후관내번적독립위험인소。
BACKGROUND:Hip varus is likely to occur after internal fixation of intertrochanteric fracture. There are less studies on influential factors of hip varus after internal fixation. OBJECTIVE:To explore the influential factors of hip varus after internal fixation of intertrochanteric fracture. METHODS:Eighty patients with femoral fracture undergoing internal fixation treatment were selected. Single factor analysis and Logistic regression analysis were performed. Whether hip varus occurred or not served as dependent variable, and independent variables included age, sex, body mass index, fracture classification, bone mineral density, time from injury to internal fixation, internal fixation method, lesser trochanter restoration, postoperative weight-bearing time. RESULTS AND CONCLUSION:Al the patients were fol owed up for over 6 months postoperatively. Twelve patients had postoperative hip varus with an incidence rate of 15%. Hip varus occurred within 1-4 months after operation, with a mean coxa vara angle of 99.1° (94°-107°). Fracture classification, bone mineral density, postoperative weight-bearing time were influential factors for hip varus in patients with femoral fracture undergoing internal fixation (P<0.05). But age, sex, body mass index, time from injury to surgery, internal fixation method and lesser trochanter restoration were not influential factors (P>0.05). Logistic regression analysis showed that fracture classification, bone mineral density, postoperative weight-bearing time were independent risk factors for the occurrence of hip varus after internal fixation of intertrochanteric fracture.
