Karlsson M K, Nilsson B E, Obrant K J
Department of Orthopaedics, Lund University, Malmö General Hospital, Sweden.
Clin Orthop Relat Res. 1993 Feb(287):87-9.
Based on all patients with tibial shaft fracture (n = 767) treated in the department of orthopedics in Malmö from 1955 to 1963, a retrospective cohort study was performed in 1990. Two hundred sixty-nine of the patients were still living in Malmö or had died in the city. Since all roentgenograms were available, all other fractures that this group of patients had sustained up to 1990 were included. Data were compared with an age- and gender-matched control group with respect to location and types of fractures. The group with previous tibial shaft fractures had an increased incidence of all sorts of fractures. When comparing the risk of sustaining new fractures in the previously fractured limb with the uninjured side, only a statistically insignificant tendency toward more fractures was found. A similar tendency was observed in fractures of the upper limb. Therefore, remaining osteopenia in the injured limb after tibial shaft fracture is not associated with further fractures; rather, this group of patients were more fracture prone in general.
基于1955年至1963年在马尔默骨科接受治疗的所有胫骨干骨折患者（n = 767），1990年进行了一项回顾性队列研究。其中269名患者仍居住在马尔默或已在该市死亡。由于所有X线片都可获取，因此纳入了该组患者截至1990年所遭受的所有其他骨折。就骨折的部位和类型而言，将数据与年龄和性别匹配的对照组进行了比较。既往有胫骨干骨折的组各类骨折的发生率均有所增加。当比较先前骨折肢体与未受伤侧发生新骨折的风险时，仅发现骨折增多的趋势在统计学上无显著意义。在上肢骨折中也观察到了类似趋势。因此，胫骨干骨折后受伤肢体残留的骨质减少与进一步骨折无关；相反，这组患者总体上更容易发生骨折。
