老年患者手术治疗后对侧髋部骨折的危险因素及预测因素
Risk factors and predictors of contralateral hip fracture after surgical treatment in elderly patients.
作者信息
Yang Huan, Yuan Yusong, Ge Ruidong, Shi Lei, Si Fangda, Chen Ying
机构信息
Orthopedic Trauma, China-Japan Friendship Hospital, Beijing, China.
出版信息
Front Aging. 2025 Aug 18;6:1633184. doi: 10.3389/fragi.2025.1633184. eCollection 2025.
BACKGROUND
Hip fractures are common in elderly patients, with some experiencing contralateral fractures. Even so, information on predictors of hip fractures in elderly adults is lacking. In this study, we investigated risk factors for contralateral hip fractures after surgical treatment of primary fractures.
METHODS
This was a prospective cohort study of 115 patients aged ≥65 years with low-energy hip fractures. The clinical parameters evaluated included age, sex, bone mineral density (BMD), T score, and hip flexor strength deficit. Patients were stratified into two groups: those with (n = 12) and those without contralateral fractures (n = 103).
RESULTS
Contralateral fractures occurred in 10.4% of the patients. Logistic regression revealed that age (OR = 1.08), reduced BMD (OR = 0.33), lower T score (OR = 1.45), and hip flexor imbalance (OR = 2.2) were significant predictors.
CONCLUSION
A multimodal approach that integrates anti-osteoporosis therapy and targeted rehabilitation may reduce contralateral fracture risk in elderly patients.
背景
髋部骨折在老年患者中很常见，有些患者会发生对侧骨折。即便如此，关于老年成年人髋部骨折预测因素的信息仍然匮乏。在本研究中，我们调查了初次骨折手术治疗后对侧髋部骨折的危险因素。
方法
这是一项针对115例年龄≥65岁的低能量髋部骨折患者的前瞻性队列研究。评估的临床参数包括年龄、性别、骨密度（BMD）、T值和髋部屈肌力量缺陷。患者被分为两组：有对侧骨折的患者（n = 12）和无对侧骨折的患者（n = 103）。
结果
10.4%的患者发生了对侧骨折。逻辑回归显示，年龄（OR = 1.08）、骨密度降低（OR = 0.33）、T值较低（OR = 1.45）和髋部屈肌失衡（OR = 2.2）是显著的预测因素。
结论
整合抗骨质疏松治疗和针对性康复的多模式方法可能会降低老年患者对侧骨折的风险。
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