Lüthje P, Kataja M, Santavirta S, Avikainen V, Nurmi I, Livio V, Lund T, Läike E, Partio E, Rintamo R
Department of Surgery, Kuusankoski Regional Hospital, Finland.
Ann Chir Gynaecol. 1992;81(4):372-7.
We studied prospectively the demographic data, fracture types and modes of treatment in 390 patients with acute traumatic hip fractures in two health care regions in Finland, the Middle Finland region and the Kymenlaakso region in 1989. In Middle Finland population (251,203 inhabitants) 199 patients with a hip fracture were admitted to two acute care hospitals, while 191 patients were admitted in Kymenlaakso (population 189,726) to four acute hospitals. There were no significant differences in the sex- and age-specific incidences between the two regions. In Middle Finland, 70% of the fractures were of the femoral neck, 28% were trochanteric and 2% subtrochanteric. The corresponding figures in Kymenlaakso were 57%, 38% and 5% (P < 0.05). In Middle Finland, 73% of the femoral neck fractures were treated primarily with a hemiendoprosthesis, 2% with primary total hip replacement and 25% by osteosynthesis. The corresponding figures in Kymenlaakso were 81%, 7% and 12% (P < 0.001). The mean duration of hospital stay was 14 days in Middle Finland and 21 days in Kymenlaakso (P < 0.01).
1989年，我们对芬兰两个医疗保健地区（中芬兰地区和屈米拉克索地区）的390例急性创伤性髋部骨折患者的人口统计学数据、骨折类型及治疗方式进行了前瞻性研究。在中芬兰地区（有251,203名居民），199例髋部骨折患者被收治到两家急症医院，而在屈米拉克索地区（有189,726名居民），191例患者被收治到四家急症医院。两个地区在性别和年龄特异性发病率方面没有显著差异。在中芬兰地区，70%的骨折为股骨颈骨折，28%为转子间骨折，2%为转子下骨折。屈米拉克索地区的相应数字分别为57%、38%和5%（P<0.05）。在中芬兰地区，73%的股骨颈骨折主要采用半髋关节置换术治疗，2%采用初次全髋关节置换术，25%采用骨固定术。屈米拉克索地区的相应数字分别为81%、7%和12%（P<0.001）。中芬兰地区的平均住院时间为14天，屈米拉克索地区为21天（P<0.01）。
