髋部骨折患者合并桡骨远端骨折的影响：单中心系列研究与荟萃分析。
Influence of coincident distal radius fracture in patients with hip fracture: single-centre series and meta-analysis.
作者信息
Uzoigwe C E, Venkatesan M, Johnson N, Lee K, Magaji S, Cutler L
机构信息
Department of Trauma and Orthopaedics, University Hospitals of Leicester, Infirmary Square, Leicester, LE1 5WW, UK.
出版信息
J Orthop Traumatol. 2015 Jun;16(2):93-7. doi: 10.1007/s10195-013-0281-8. Epub 2013 Dec 29.
BACKGROUND
Hip and wrist fractures are the most common orthopaedic injuries. Combined hip and distal radius fractures are an important clinical and public health problem, since mobilisation and rehabilitation is challenging and likely to be prolonged in this setting. Few studies have explored the influence of an associated wrist fracture in patients with hip fracture. We present the largest series of patients with concomitant hip and wrist fractures. We perform the first meta-analysis of the literature on patients with concurrent hip and wrist fractures.
MATERIAL AND METHODS
In this single-centre retrospective study we compared 88 consecutive patients with simultaneous hip and wrist fractures with 772 consecutive patients who suffered isolated hip fractures.
RESULTS
Patients with the combined fracture were of a similar age compared to those with isolated hip fracture. There were a significantly higher proportion of women in the cohort with both hip and wrist fractures (female:male ratio of 9:1 versus 4:1 p < 0.0001). The combination fracture group had a greater length of hospitalisation (18 vs 13 days p < 0.0001). The survivorship of both groups was not significantly different even after adjustment for age and gender. Meta-analysis of the literature showed female preponderance, increased length of stay but no significant difference in survival in patients with concomitant hip and wrist fractures.
CONCLUSION
The combination fracture occurs much more commonly in women and patients require a greater length of hospitalisation. The patients who sustained simultaneous hip and wrist fractures experienced no statistically significant difference in survivorship when compared to those who suffer isolated hip fractures. This is not withstanding the presence of two fractures. This difference in mortality did not reach statistical significance.
LEVEL OF EVIDENCE
Level III (retrospective comparative study).
背景
髋部和腕部骨折是最常见的骨科损伤。髋部和桡骨远端联合骨折是一个重要的临床和公共卫生问题，因为在此情况下的活动和康复具有挑战性且可能会延长。很少有研究探讨腕部骨折对髋部骨折患者的影响。我们呈现了最大系列的髋部和腕部合并骨折患者。我们对关于同时发生髋部和腕部骨折患者的文献进行了首次荟萃分析。
材料与方法
在这项单中心回顾性研究中，我们将88例连续的髋部和腕部同时骨折患者与772例连续的单纯髋部骨折患者进行了比较。
结果
与单纯髋部骨折患者相比，合并骨折患者的年龄相似。髋部和腕部骨折队列中的女性比例显著更高（女性与男性比例为9:1，而单纯髋部骨折组为4:1，p < 0.0001）。合并骨折组的住院时间更长（18天对13天，p < 0.0001）。即使在对年龄和性别进行调整后，两组的生存率也没有显著差异。文献的荟萃分析显示，在同时发生髋部和腕部骨折的患者中，女性占优势，住院时间延长，但生存率没有显著差异。
结论
合并骨折在女性中更为常见，患者需要更长的住院时间。与单纯髋部骨折患者相比，同时发生髋部和腕部骨折的患者在生存率方面没有统计学上的显著差异。尽管存在两处骨折，但这种死亡率差异未达到统计学显著性。
证据水平
III级（回顾性比较研究）。
Zotero 插件