年龄对采用内固定和半髋关节置换术治疗的股骨颈骨折再次手术率有何影响？老年人群髋部骨折治疗结果的比较。
What is the impact of age on reoperation rates for femoral neck fractures treated with internal fixation and hemiarthroplasty? A comparison of hip fracture outcomes in the very elderly population.
作者信息
Griffin Joshua, Anthony Travis L, Murphy Donavan K, Brennan Kindyle L, Brennan Michael L
机构信息
Baylor Scott & White Health, Temple, TX 76508, United States.
出版信息
J Orthop. 2016 Jan 23;13(1):33-9. doi: 10.1016/j.jor.2015.12.003. eCollection 2016 Mar.
Abstract
METHODS
A retrospective comparative study was performed at a level 1 trauma center at which electronic medical records and digital radiographs were reviewed for 949 femoral neck fractures. For the primary outcome of reoperation based on age, Kaplan-Meier models were built and analysis applied.
RESULTS
A total of 334 fractures were nondisplaced treated with closed reduction and percutaneous pinning (CRPP), and 615 were displaced managed with hemiarthroplasty (HA). Overall, 98 patients (10.33%) required reoperation. Increasing reoperation rates for CRPP was seen with each subsequent age group. The opposite was seen with HA in which increasing age groups showed lower reoperation rates.
摘要
方法
在一家一级创伤中心进行了一项回顾性比较研究，对949例股骨颈骨折患者的电子病历和数字化X线片进行了回顾。针对基于年龄的再次手术这一主要结局，构建了Kaplan-Meier模型并进行分析。
结果
共有334例无移位骨折采用闭合复位经皮穿针固定术（CRPP）治疗，615例移位骨折采用半髋关节置换术（HA）治疗。总体而言，98例患者（10.33%）需要再次手术。CRPP的再次手术率在随后的每个年龄组中均呈上升趋势。而HA则相反，年龄越大的组再次手术率越低。
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