Muckle D S, Miscony Z
Injury. 1980 Jul;12(1):41-4. doi: 10.1016/0020-1383(80)90074-1.
Eighty-six patients, aged under 60 years, who had sustained fractures of the femoral neck, were studied, as well as the circumstances of injury and the long term medication they may have had. They were divided into two groups: 'injured' (38), with an average age of 41 years, and the 'uninjured' (48), with an average age of 55 years. Unlike other series, the male to female ratio was equal. Trochanteric fractures were more common in men involved in high speed accidents and the prognosis was excellent, but subcapital fractures were most frequent in patients with concurrent illness and 77 per cent were taking drugs which could affect bone density. The prognosis in these relatively young patients with subcapital fractures was no different from that in much older patients: 28.5 per cent developed avascular necrosis and 21.4 per cent required prosthetic replacement.
对86名年龄在60岁以下的股骨颈骨折患者进行了研究，同时调查了他们的受伤情况以及可能长期服用的药物。这些患者被分为两组：“受伤组”（38人），平均年龄41岁；“未受伤组”（48人），平均年龄55岁。与其他系列研究不同的是，该研究中男女比例相等。转子间骨折在高速事故中的男性患者中更为常见，预后良好，但股骨头下骨折在并发疾病的患者中最为常见，且77%的患者正在服用可能影响骨密度的药物。这些相对年轻的股骨头下骨折患者的预后与年龄大得多的患者并无差异：28.5%发生了缺血性坏死，21.4%需要进行假体置换。
