Liu Bo, Chen Wei, Yang Guang, Liu Song, Chen Xiao, Yang Zongyou, Tian Ye, Zhang Fei, Sun Jiayuan, Liu Lei, Yin Bing, Zhu Yanbin, Zhang Yingze
Department of Orthopaedics, Key Laboratory of Orthopaedic Biomechanics of Hebei Province, the Third Hospital to Hebei Medical University, Orthopaedic Research Institution of Hebei Province, Shijiazhuang 050051, China.
Department of Orthopaedics, Key Laboratory of Orthopaedic Biomechanics of Hebei Province, the Third Hospital to Hebei Medical University, Orthopaedic Research Institution of Hebei Province, Shijiazhuang 050051, China. Email:
Zhonghua Wai Ke Za Zhi. 2015 Feb;53(2):126-9.
To investigate the clinical characteristics and analyze the proportions of adult hip fracture patients combined with other sites of fractures.
Adult patients with hip fractures admitted to the Third Hospital of Hebei Medical University were retrospectively collected from January 2008 to December 2012. The proportions of patients combined with other fractures were calculated and the clinical features of gender, age and combined fracture sites were analyzed.
A total of 3 310 patients with hip fracture were included, and 328 patients of them were combined with other site fractures, therefore with the proportions of 9.91%, and 13.93% for males, 6.40% for females respectively. The patients aged ≥ 30 and < 40 years account for the highest (26.88%) proportion of combined fractures, with the single summit for incident age. The most amount of hip fracture patients with other site fractures were aged ≥ 70 and < 80 years (56 patients). Which were aged ≥ 30 and < 40 years, ≥ 40 and < 50 years for males (41 patients), while aged ≥ 80 years for females (32 patients). There were a total of 536 combined fracture sites with 1.63 sites per patient, and 1.73 sites per males, 1.45 sites per females. The highest of average sites per patient (2.22 sites/person) was occurred at age ≥ 16 and < 20 years. For youth or males patients, the most common combined fracture sites were diaphyseal femur fracture, tibia and fibula and ankle fractures, foot fractures. While for elderly or female patients, it were thoracolumbar fractures and distal radius and ulna fractures.
The young or male patients have the most possibility to combine with other sites of fractures. For youth or males, the most common combined fracture sites are concentrated in the lower limbs. While for elderly or female patients, thoracolumbar fractures and distal radius and ulna fractures are more commonly.
探讨成人髋部骨折患者的临床特征，并分析合并其他部位骨折的比例。
回顾性收集2008年1月至2012年12月在河北医科大学第三医院收治的成人髋部骨折患者。计算合并其他骨折患者的比例，并分析性别、年龄及合并骨折部位的临床特征。
共纳入3310例髋部骨折患者，其中328例合并其他部位骨折，占9.91%，男性占13.93%，女性占6.40%。年龄≥30岁且<40岁的患者合并骨折比例最高（26.88%），为发病年龄的单峰。合并其他部位骨折的髋部骨折患者中年龄≥70岁且<80岁的最多（56例）。男性中年龄≥30岁且<40岁、≥40岁且<50岁的各有41例，女性中年龄≥80岁的有32例。合并骨折部位共536处，平均每位患者1.63处，男性平均每位患者1.73处，女性平均每位患者1.45处。年龄≥16岁且<20岁的患者平均每位患者合并骨折部位数最高（2.22处/人）。对于青年或男性患者，最常见的合并骨折部位是股骨干骨折、胫腓骨及踝关节骨折、足部骨折。而对于老年或女性患者，是胸腰椎骨折及桡尺骨远端骨折。
青年或男性患者合并其他部位骨折的可能性最大。对于青年或男性，最常见的合并骨折部位集中在下肢。而对于老年或女性患者，胸腰椎骨折及桡尺骨远端骨折更为常见。
