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影响股骨颈骨折患者治疗结果的因素(作者译)

[Factors influencing the results in the treatment of patients with femoral neck fractures (author's transl)].

作者信息

Lüthje P, Rokkanen P, Rönty J, Pentti O

出版信息

Z Orthop Ihre Grenzgeb. 1976 Oct;114(5):813-8.

PMID:997736
Abstract

The results of 213 consecutive operatively treated patients with fractures of the femoral neck were evaluated. Especially the effects of improved operative technique, careful pre- and postoperative care and intensified rehabilitation were observed. The series consisted of 151 women and 62 men, 111 femoral neck fractures and 102 trochanteric fractures. Nailing was performed on 54 femoral neck fracture patients and endoprothesis operation on 57 patients. No statistically significant differences were proved when the two consecutive two years series were compared with one another concerning the nailing results and the frequence of thrombosis and infection. However, by means of early weight-bearing and improved pre- and postoperative care the 6 months mortality decreased statistically significantly (chi2 = 6.58, p less than 0.05).

摘要

对213例接受手术治疗的股骨颈骨折患者的结果进行了评估。特别观察了改进手术技术、术前和术后精心护理以及强化康复的效果。该系列包括151名女性和62名男性,111例股骨颈骨折和102例转子间骨折。54例股骨颈骨折患者进行了钉固定术,57例患者进行了人工关节置换手术。当将连续两年的两个系列在钉固定结果以及血栓形成和感染频率方面进行相互比较时,未发现统计学上的显著差异。然而,通过早期负重以及改进术前和术后护理,6个月死亡率在统计学上显著降低(χ2 = 6.58,p < 0.05)。

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