Hadden W A, Abernethy P J, Haw C
Clin Orthop Relat Res. 1982 Oct(170):252-9.
The results of treatment of 73 transcervical and 49 extracapsular fractures of the femoral neck in patients with rheumatoid arthritis were compared with the results in 152 normal patients. In undisplaced transcervical fractures that were internally fixed and followed up for more than six months, there was no significant difference in results between the rheumatoid patients (5 acceptable results in 8 patients) and the control patients (8 acceptable results in 9 patients). In displaced fractures, when internally fixed, the rheumatoid group (8 acceptable results in 27 patients) did significantly less well than the control group (17 acceptable results in 30 patients). In hips affected by the disease, the results were worse (1 acceptable result in 9 patients). Hemiarthroplasty gave acceptable results in two-thirds of the rheumatoid patients with transcervical fractures, whether used as primary treatment of displaced fractures or as revision of failed pinnings. This was not affected significantly by the presence of disease in the joint. In extracapsular fractures, the presence of rheumatoid arthritis, whether or not it affected the hip, did not appear to affect the outcome. The presence of osteoporosis was associated with poor results.
将类风湿性关节炎患者的73例股骨颈经颈骨折和49例囊外骨折的治疗结果与152例正常患者的结果进行了比较。在进行内固定并随访超过6个月的无移位经颈骨折中，类风湿患者（8例中有5例结果可接受）和对照患者（9例中有8例结果可接受）的结果无显著差异。在移位骨折进行内固定时，类风湿组（27例中有8例结果可接受）的效果明显不如对照组（30例中有17例结果可接受）。在受疾病影响的髋关节中，结果更差（9例中有1例结果可接受）。对于三分之二的类风湿性经颈骨折患者，半髋关节置换术无论是作为移位骨折的初次治疗还是作为失败内固定的翻修，结果均可接受。这并未受到关节疾病存在的显著影响。在囊外骨折中，类风湿性关节炎的存在，无论是否影响髋关节，似乎都不影响结果。骨质疏松的存在与不良结果相关。
