Yang Zhouyuan, Liu Huifang, Xie Xiaowei, Tan Zhen, Qin Tianqiang, Kang Pengde
Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, China.
Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, China.
J Arthroplasty. 2015 Aug;30(8):1378-83. doi: 10.1016/j.arth.2015.02.037. Epub 2015 Feb 28.
The outcome of total hip arthroplasty (THA) for failed internal fixation after femoral neck fracture (FNF) versus that for acute displaced femoral neck fracture is still controversial. This study retrospectively analyzed a consecutive series of 130 THAs for acute displaced FNF (64, group I) and for failed internal fixation (66, group II). Results showed THAs in group II were more technically demanding procedures with longer operative time and larger amounts of drainage compared to that in group I. Furthermore, multivariate analysis revealed that the associations between THAs (group II) and hip complications were notable (OR=4.15, P=0.017). These increased risks should be paid much attention to, not only for choosing the appropriate treatment option, but also for providing effective perioperative care.
对于股骨颈骨折（FNF）内固定失败后行全髋关节置换术（THA）的结果与急性移位性股骨颈骨折行THA的结果仍存在争议。本研究回顾性分析了连续130例急性移位性FNF行THA（64例，I组）和内固定失败行THA（66例，II组）的病例。结果显示，与I组相比，II组的THA手术技术要求更高，手术时间更长，引流量更大。此外，多因素分析显示，II组THA与髋关节并发症之间的关联显著（OR=4.15，P=0.017）。这些增加的风险不仅在选择合适的治疗方案时应予以高度重视，而且在提供有效的围手术期护理时也应予以关注。
