CAJ | 학술논문

目的：分析股骨近端锁定钢板失败的相关危险因素。方法选取2010年1月-2014年12月医院行股骨近端锁定钢板治疗股骨近端骨折患者41例，男14例，女27例，年龄56~82岁，中位年龄67岁，共9例患者出现股骨近端锁定钢板失败，患者的年龄、性别、糖尿病、体质量指数、吸烟、骨质疏松以及小转子复位情况纳入可能的危险因素作为研究对象，统计学方法采用多变量的Logistic回归分析。结果股骨近端小转子的复位与股骨近端锁定钢板的失败显著相关（ P=0.033），而年龄、性别、糖尿病、体质量指数、吸烟、骨质疏松与股骨近端锁定钢板的失败无显著相关性（相应P=0.158，P=0.348，P=0.229，P=0.728，P=0.954，P=0.456）。结论股骨近端锁定钢板治疗股骨近端骨折，尤其是不稳定骨折有较高的失败率，还有待于进一步的生物力学和临床研究予以验证。
목적：분석고골근단쇄정강판실패적상관위험인소。방법선취2010년1월-2014년12월의원행고골근단쇄정강판치료고골근단골절환자41례，남14례，녀27례，년령56~82세，중위년령67세，공9례환자출현고골근단쇄정강판실패，환자적년령、성별、당뇨병、체질량지수、흡연、골질소송이급소전자복위정황납입가능적위험인소작위연구대상，통계학방법채용다변량적Logistic회귀분석。결과고골근단소전자적복위여고골근단쇄정강판적실패현저상관（ P=0.033），이년령、성별、당뇨병、체질량지수、흡연、골질소송여고골근단쇄정강판적실패무현저상관성（상응P=0.158，P=0.348，P=0.229，P=0.728，P=0.954，P=0.456）。결론고골근단쇄정강판치료고골근단골절，우기시불은정골절유교고적실패솔，환유대우진일보적생물역학화림상연구여이험증。
Objective To analyze the related risk factors of proximal femoral locking plate failure. Methods 41 pa-tients(14 males,27 females;mean age 67 years,range 56 ~82years)presenting with proximal femoral fractures treated with open reduction locked plate osteosynthesis at our institution′s trauma centre were collected from reference room from January 2010 to December 2014,nine patients with proximal femoral locking plate failure,Age,gender,diabetes,body mass index, smoking,osteoporosis and medial buttress reconstruction were acted as possible risk factors in the study,statistical methods e. g. multivariate logistic regression model was performed. Results In the study,there is a significant statistical difference be-tween medial buttress reconstruction and proximal femoral locking plate failure(P=0. 033). Nevertheless,there was no statis-tically significant difference between groups with regards to age,gender,diabetes,body mass index,smoking or osteoporosis (P=0. 158,P=0. 348,P=0. 229,P=0. 728,P=0. 954,P=0. 456,respectively). Conclusion Proximal femoral fractures treated with proximal femoral locking plate have a high failure rate,especially for the unstable fractures,but further biomechani-cal and clinical studies are required to evaluate the conclusion of this study.