摘要
目的探讨导致儿童股骨颈骨折术后股骨头坏死的独立危险因素。方法回顾性分析2008年7月至2021年7月在我院接受手术治疗的122例股骨颈骨折患儿的临床资料,统计股骨头坏死情况,并根据是否出现股骨头坏死将患儿分为股骨头坏死组和股骨头正常组,分析导致股骨头坏死的危险因素。结果122例患儿中有22例(18.03%)出现股骨头坏死,儿童股骨颈骨折术后出现股骨头坏死可能与患儿年龄、Delbet分型、初始移位程度、受伤机制、手术时间、内固定方式及复位质量有关(P<0.05),但与患儿性别、侧别、受伤至手术时间、复位方式无显著相关性(P>0.05)。Logistic回归分析结果显示,年龄大于10岁、DelbetⅠ~Ⅱ型、初始移位程度为Ⅲ型、高能量损伤及不可接受复位均为儿童股骨颈骨折术后股骨头坏死的独立危险因素(P<0.05)。结论大龄儿童、DelbetⅠ~Ⅱ型、初始移位程度大、高能量损伤及不可接受复位是儿童股骨颈骨折术后股骨头坏死的独立危险因素。
Objective To investigate the independent risk factors of postoperative femoral head necrosis for pediatric femoral neck fractures.Methods The clinical data of 122 children with femoral neck fracture who underwent surgery in our hospital from July 2008 to July 2021 were retrospectively analyzed.The femoral head necrosis was counted,and the children were divided into the femoral head necrosis group and the femoral head normal group according to the presence of femoral head necrosis,then the risk factors of femoral head necrosis were analyzed.Results Of the 122 children,22 cases(18.03%)had femoral head necrosis.The postoperative femoral head necrosis for pediatric femoral neck fractures may be related to the age,Delbet classification,initial displacement degree,injury mechanism,operation time,internal fixation method and reduction quality(P<0.05),while which has no significant correlation with the gender,side,time from injury to operation,or reduction method(P>0.05).The results of Logistic regression analysis showed that age>10 years,Delbet type ofⅠtoⅡ,initial displacement degree of typeⅢ,high-energy injury and unacceptable reduction were the independent risk factors of postoperative femoral head necrosis for pediatric femoral neck fractures(P<0.05).Conclusion Older children,or patients with Delbet type ofⅠtoⅡ,large degree of initial displacement,high-energy injury,and unacceptable reduction are the independent risk factors of postoperative femoral head necrosis for pediatric femoral neck fractures.
作者
肖元
刘昕
周英
叶家军
邓志强
任波
XIAO Yuan;LIU Xin;ZHOU Ying;YE Jia-jun;DENG Zhi-qiang;REN Bo(Department of Pediatric Orthopedics,SichuanProvincial Orthopedic Hospital,Chengdu Sichuan 610041,China)
出处
《局解手术学杂志》
2024年第9期773-777,共5页
Journal of Regional Anatomy and Operative Surgery
关键词
儿童
股骨颈骨折
股骨头坏死
切开复位
闭合复位
children
femoral neck fractures
femoral head necrosis
open reduction
closed reduction
