髋关节置换术后股骨假体周围骨折的危险因素分析  

Risk factors of periprosthetic femoral fracture after hip replacement

作　　者：丁晓飞 夏海波[1] 沈慧芸 吴叶芬[1] DING Xiaofei;XIA Haibo;SHEN Huiyun(Department of Traumatic and Orthopedics,Lishui People's Hospital,Lishui 323000,China)

机构地区：[1]丽水市人民医院创伤骨科,浙江丽水323000

出　　处：《全科医学临床与教育》2024年第11期993-996,共4页Clinical Education of General Practice

基　　金：丽水学院2023年下半年省教育厅一般科研项目(Y202044316)。

摘　　要：目的探讨髋关节置换术后股骨假体周围骨折(PFF)的危险因素。方法对行髋关节置换术的200例患者的临床资料进行回顾性分析,随访1年根据患者是否发生PFF分为PFF组和非PFF组,采用单因素分析和多因素logistic回归分析髋关节置换术后PFF发生的危险因素。结果200例髋关节置换术患者术后PFF的发生率为11.00%(22/200)。据此分为PFF组(n=22)和非PFF组(n=178)。两组在性别、年龄、手术方式、股骨近端髓腔形态、假体固定类型方面比较,差异均有统计学意义(χ^(2)分别=14.26、21.82、5.24、42.39、6.01,P均<0.05);多因素logistic回归分析显示,女性、年龄≥65岁、非正常型股骨近端髓腔形态、生物型假体是髋关节置换术后PFF发生的危险因素(OR分别=2.03、2.27、2.29、1.99,P均<0.05)。结论髋关节置换术后PFF的发生率较高,且与女性、年龄≥65岁、非正常型股骨近端髓腔形态、生物型假体等危险因素相关。Objective To explore the risk factors of periprosthetic femoral fracture(PFF)after hip replacement.Methods A retrospective analysis was performed on the clinical data of 200 patients undergoing hip replacement.Pa⁃tients were followed up for 1 year and divided into PFF group and non-PFF group according to whether PFF occurred.The risk factors of PFF after hip replacement were analyzed by univariate analysis and multivariate logistic regression analysis.Results The incidence of PFF in 200 patients with hip replacement was 11.00%(22/200).They were divided into PFF group(n=22)and non-PFF group(n=178).There were significant differences in gender,age,surgical meth⁃ods,shape of proximal femoral medullary cavity and types of prosthesis fixation between the two groups(χ^(2)=14.26,21.82,5.24,42.39,6.01,P<0.05).Multivariate logistic regression analysis showed that female gender,age≥65 years,abnormal shape of proximal femoral medullary cavity and biological prosthesis were risk factors of PFF after hip replace⁃ment(OR=2.03,2.27,2.29,1.99,P<0.05).Conclusion The incidence of PFF is high after hip replacement,and it risk factors include female gender,age≥65 years,abnormal shape of proximal femoral medullary cavity and biological prosthesis.

关 键 词：髋关节置换术 股骨假体周围骨折 危险因素 

分 类 号：R687.3[医药卫生—骨科学]