Juhász Krisztina, Boncz Imre, Kanizsai Péter, Sebestyén Andor
Népegészségügyi Osztály, Baranya Megyei Kormányhivatal Pécs, Szabadság út 7., 7623.
Általános Orvostudományi Kar, Klinikai Központ, Pécsi Tudományegyetem Pécs.
Orv Hetil. 2018 Sep;159(38):1543-1547. doi: 10.1556/650.2018.31179.
Although several national studies reported on the risk factors for contralateral hip fracture, there are no data about the prognostic factors of the time until contralateral hip fractures.
The aim of the study was to analyse the impact of different prognostic factors on the time until the development of contralateral fracture and to determine the incidence of contralateral hip fractures after femoral neck fractures.
Patients aged 60 years and over with contralateral hip fracture between 01 Jan 2000 and 31 Dec 2008 were identified among those who suffered their femoral neck fracture in Hungary in 2000. Risk factors as age, sex, comorbidities, type of fracture and surgery, place of living and hospitals providing treatment for primary fracture were analysed by one way ANOVA focusing on the time until the development of contralateral hip fracture.
312 patients met the inclusion criteria. The incidence of contralateral hip fracture after femoral neck fracture ranged between 1.5% and 2.1%, the cumulative incidence was 8.24%. The mean time until the development of contralateral hip fracture was 1159.8 days. The incidence of contralateral hip fracture showed no significant deviation. Significantly shorter time (p = 0.010) was detected until the contralateral hip fracture in older patients with femoral neck fracture.
The yearly incidence of contralateral hip fracture showed no significant difference by patients with femoral neck fracture over 60 years. The shorter time until the contralateral hip fracture by the older age groups highlights the need of elaboration of prevention strategies. Orv Hetil. 2018; 159(38): 1543-1547.
尽管多项全国性研究报告了对侧髋部骨折的危险因素，但尚无关于对侧髋部骨折发生时间的预后因素的数据。
本研究旨在分析不同预后因素对至对侧骨折发生时间的影响，并确定股骨颈骨折后对侧髋部骨折的发生率。
在2000年于匈牙利发生股骨颈骨折的患者中，确定2000年1月1日至2008年12月31日期间发生对侧髋部骨折的60岁及以上患者。通过单因素方差分析，以至对侧髋部骨折发生的时间为重点，分析年龄、性别、合并症、骨折和手术类型、居住地点以及为初次骨折提供治疗的医院等危险因素。
312例患者符合纳入标准。股骨颈骨折后对侧髋部骨折的发生率在1.5%至2.1%之间，累积发生率为8.24%。至对侧髋部骨折发生的平均时间为1159.8天。对侧髋部骨折的发生率无显著偏差。在股骨颈骨折的老年患者中，至对侧髋部骨折的时间明显更短（p = 0.010）。
60岁以上股骨颈骨折患者对侧髋部骨折的年发生率无显著差异。老年组至对侧髋部骨折的时间较短，凸显了制定预防策略的必要性。《匈牙利医学周报》。2018年；159(38): 1543 - 1547。
