Levi N
Department of Orthopaedic Surgery, Frederiksberg Hospital, University of Copenhagen, Denmark.
Injury. 1996 Oct;27(8):565-7. doi: 10.1016/s0020-1383(96)00077-0.
A total of 59 (13.5 per cent) of 437 patients with cervical hip fractures died within the first 3 months, compared with an expected mortality rate of 2.6 per cent in the comparable general population (P < 0.05). The average age at death was 86 years (range, 62-98). The 3-months mortality rate among patients admitted from institutions was 24/105 = 23 per cent compared with 35/332 = 10.5 per cent for patients admitted from their own homes (P < 0.05). The 3-months mortality rate for patients with Garden 1 + 2 fractures was 9.4 per cent compared with 14 per cent for Garden 3 + 4 (P < 0.05). This series seems to suggest that non-cemented hemi-arthroplasty may be associated with an increased 3-months mortality rate of 21 per cent compared with 13.9 per cent (P < 0.05) for patients with the same age distribution. This may be due to a relatively high deep-infection rate following non-cemented hemi-arthroplasty.
437例颈椎髋部骨折患者中，共有59例（13.5%）在最初3个月内死亡，相比之下，可比普通人群的预期死亡率为2.6%（P<0.05）。死亡患者的平均年龄为86岁（范围62 - 98岁）。机构收治患者的3个月死亡率为24/105 = 23%，而家庭收治患者的死亡率为35/332 = 10.5%（P<0.05）。Garden 1 + 2型骨折患者的3个月死亡率为9.4%，而Garden 3 + 4型为14%（P<0.05）。该系列研究似乎表明，与相同年龄分布患者的13.9%相比，非骨水泥半髋关节置换术可能与3个月死亡率增加至21%相关（P<0.05）。这可能是由于非骨水泥半髋关节置换术后深部感染率相对较高。
