Koval K J, Aharonoff G B, Rokito A S, Lyon T, Zuckerman J D
Department of Orthopaedic Surgery, Hospital for Joint Diseases, New York, NY 10003, USA.
Clin Orthop Relat Res. 1996 Sep(330):166-72. doi: 10.1097/00003086-199609000-00020.
A prospective analysis was performed involving 680 geriatric patients with hip fractures to determine whether the demographic profile of patients with femoral neck fractures was similar to that of patients with intertrochanteric fractures. All patients were community dwelling, cognitively intact, previously ambulatory elderly with femoral neck or intertrochanteric fracture. Three hundred fifty-eight patients (52.6%) sustained a femoral neck fracture; 322 (47.4%), an intertrochanteric fracture. Patients with an intertrochanteric fracture were significantly older, more likely to be limited to home ambulation, and were more dependent regarding basic and instrumental activities of daily living. After stratification by gender and adjustment for age, these differences remained significant in women only. There were no differences in age, prefracture ambulatory ability, or dependence in activities of daily living in men with either type of fracture.
对680例老年髋部骨折患者进行了前瞻性分析，以确定股骨颈骨折患者的人口统计学特征是否与转子间骨折患者相似。所有患者均为居住在社区、认知功能正常、既往可独立行走的股骨颈或转子间骨折老年患者。358例患者（52.6%）发生股骨颈骨折；322例（47.4%）发生转子间骨折。转子间骨折患者年龄显著更大，更可能仅限于在家中活动，并且在基本和工具性日常生活活动方面更依赖他人。按性别分层并对年龄进行调整后，这些差异仅在女性中仍然显著。两种类型骨折的男性在年龄、骨折前行走能力或日常生活活动依赖程度方面没有差异。
