中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (4): 752-756.doi: 10.3969/j.issn.1673-8225.2012.04.042

• 骨与关节临床实践 clinical practice of the bone and joint • 上一篇    下一篇

老年髋部骨折后对侧髋部的再骨折★

李  涛，刘  智，孙天胜，张建政，戴鹤玲，朱和玉   

  1. 安徽医科大学北京军区总医院临床学院，北京市 100700
  • 收稿日期:2011-11-29 修回日期:2011-12-07 出版日期:2012-01-22 发布日期:2014-04-04
  • 通讯作者: 刘智，硕士，教授，主任医师，安徽医科大学北京军区总医院临床学院，北京市 100700 liuzhi.8002@163.com
  • 作者简介:李涛★，男，1981年生，安徽省利辛县人，汉族，安徽医科大学在读硕士，医师，主要从事骨科创伤方面的研究。 litao8001@gmail.com

Secondary contralateral hip fractures following hip fractures in the elderly    

Li Tao, Liu Zhi, Sun Tian-sheng, Zhang Jian-zheng, Dai He-ling, Zhu He-yu   

  1. Clinical Medicine School of the Military General Hospital of Beijing PLA, Anhui Medical University, Beijing  000700, China
  • Received:2011-11-29 Revised:2011-12-07 Online:2012-01-22 Published:2014-04-04
  • Contact: Liu Zhi, Master, Professor, Chief physician, Clinical Medicine School of the Military General Hospital of Beijing PLA, Anhui Medical University, Beijing 100700, China liuzhi.8002@163.com
  • About author:Li Tao★, Studying for master’s degree, Physician, Clinical Medicine School of the Military General Hospital of Beijing PLA, Anhui Medical University, Beijing 000700, China litao8001@gmail.com

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摘要：

背景：老年髋部骨折后发生对侧髋部再骨折数目在逐年增加。
目的：阐述老年髋部骨折后对侧髋部再骨折的临床特征，提高对再次对侧髋部骨折的认识。
方法：于2001-01/2011-07对老年单侧髋部骨折患者567例和老年再发对侧髋部骨折患者30例，分析再发对侧骨折病例的发生率、骨折类型、年龄、性别、骨密度、骨质疏松、再骨折时间间隔和合并症。
结果与结论：单侧髋部骨折与再发对侧髋部骨折患者年龄、性别比例和骨密度值接近。老年髋部骨折患者中，对侧髋部再骨折发生率为5.0%。转子间骨折再发对侧髋部骨折率高于股骨颈骨折再发对侧髋部骨折率(P=0.018)。再发对侧骨折组骨质疏松发生率高于单侧骨折组(P=0.032)。初次骨折后发生对侧骨折的间隔时间平均2.4年，其中1年发生的最多，占40.1%。提示老年髋部骨折患者对侧髋部再骨折发生率较高，对于伴有骨质疏松和合并症的转子间骨折患者在术后1年内应加强预防，防止对侧髋部骨折的再次发生。
关键词：再发对侧髋部骨折；髋部骨折；股骨颈骨折；转子间骨折；骨密度；骨质疏松
doi:10.3969/j.issn.1673-8225.2012.04.042

关键词: 再发对侧髋部骨折, 髋部骨折, 股骨颈骨折, 转子间骨折, 骨密度, 骨质疏松

Abstract:

BACKGROUND: Cases of secondary contralateral hip fractures in old people with hip fractures are increasing every year.
OBJECTIVE: To analyze the clinical characteristics of secondary contralateral hip fractures among elderly patient and to improve the understanding of second contralateral hip fractures.
METHODS: From January 2001 to July 2011, a total of 567 cases of unilateral hip fractures and 30 cases of secondary contralateral hip fractures in the elderly were selected. The incidence, fractures type, age, gender, bone mineral density, osteoporosis, re-fracture interval, and complications of secondary contralateral hip fractures were analyzed.
RESULTS AND CONCLUSION: The age, gender and bone mineral density in the unilateral hip fractures and secondary contralateral hip fractures cases were approximate. The incidence of secondary contralateral hip fracture among the elderly who suffered hip fracture was 5.0%. The rate of the contralateral hip fracture in intertrochanteric fractures was higher than that in the femoral neck fractures (P=0.018). The incidence of osteoporosis in the secondary contralateral hip fracture group was higher than that in the unilateral fracture group (P=0.032). The average interval between the two fractures was 2.4 years, with most of secondary contralatera hip fractures occurring within one year, accounting for 40.1%. It is indicated that the incidence of secondary contralatera hip fractures is significantly high in the elderly. For patients who have osteoporosis, a variety of associated complications and intertrochanteric fractures should be strengthened prevention in order to prevent the re-occurrence of hip fracture.

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