摘要
目的探讨青壮年股骨颈骨折患者经闭合复位内固定手术治疗后发生股骨头无菌性缺血坏死的影响因素。方法回顾性分析自2015年1月至2020年1月北部战区总医院骨科收治的经闭合复位内固定手术治疗的62例青壮年股骨颈骨折患者临床资料,包括年龄、性别、体质量指数、骨折侧、Garden分型、损伤至手术前时间、术前是否牵引、内固定是否取出、股骨头后倾角度、是否有股骨颈皮质粉碎、术后负重活动时间、复位质量等,并分析上述指标对术后发生股骨头无菌性缺血坏死的影响。结果青壮年患者发生术后股骨头无菌性缺血坏死与Garden分型、内固定是否取出、股骨头后倾角度、股骨颈皮质粉碎情况、复位质量相关(P<0.05)。多因素Logistic分析显示,内固定是否取出、复位质量、股骨头后倾角度与术后发生股骨头无菌性缺血坏死关系密切(P<0.05)。结论青壮年股骨颈骨折闭合复位内固定术后发生股骨头坏死的影响因素较多,其中,内固定是否取出、复位质量、股骨头后倾角度与术后发生股骨头坏死密切关系。
Objective To investigate the influencing factors of aseptic ischemic necrosis of femoral head in young patients with femoral neck fracture treated with closed reduction and internal fixation surgery.Methods A retrospective study was performed on 62 cases of young patients with femoral neck fracture treated by closed reduction and internal fixation surgery from January 2015 to January 2020 in the Department of Orthopedics of General Hospital of Northern Theater Command.Age,sex,body mass index,fracture side,Garden type,time from damage to pre-operation,preoperative traction or not,fixation removed or not,the femoral head backward tilting angle,the femoral neck cortex crushed or not,postoperative weight-bearing activity time,quality of reduction were collected,and the effects of these indexes on the occurrence of aseptic ischemic necrosis of femoral head after operation were analyzed.Results The occurrence of postoperative aseptic ischemic necrosis of femoral head in young patients was correlated with Garden type,fixation removed or not,the femoral head backward tilting angle,the femoral neck cortex crushed or not,quality of reduction(P<0.05).Multivariate Logistic analysis showed that quality of reduction,the femoral head backward tilting angle were closely related to the occurrence of postoperative aseptic ischemic necrosis of femoral head(P<0.05).Conclusion The femoral head backward tilting angle are closely related to the occurrence of postoperative aseptic ischemic necrosis of femoral head in young patients.
作者
于卓力
付玉平
纪楠
王爽
樊景旭
YU Zhuo-li;FU Yu-ping;JI Nan;WANG Shuang;FAN Jing-xu(Department of Orthopedics,General Hospital of Northern Theater Command,Shenyang 110016,China)
出处
《创伤与急危重病医学》
2022年第1期40-43,共4页
Trauma and Critical Care Medicine
基金
辽宁省科学技术计划项目(2019-BS-270)。
关键词
青壮年
股骨颈骨折
股骨头无菌性缺血坏死
危险因素
Young adults
Femoral neck fracture
Aseptic ischemia necrosis of femoral head
Risk factor
