Chinese Journal of Tissue Engineering Research ›› 2020, Vol. 24 ›› Issue (21): 3304-3309.doi: 10.3969/j.issn.2095-4344.2649
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Mu Shuai1, 2, Xiao Peng3, Zhang Jianliang4, Hou Weiguang1, 5
Received:
2019-10-15
Revised:
2019-10-17
Accepted:
2019-11-29
Online:
2020-07-28
Published:
2020-04-16
Contact:
Hou Weiguang, Chief physician, Southwest Medical University, Luzhou 646000, Sichuan Province, China; Department of Orthopedics, AVIC 363 Hospital, Chengdu 610041, Sichuan Province, China
About author:
Mu Shuai, Master candidate, Attending physician, Southwest Medical University, Luzhou 646000, Sichuan Province, China; Department of Orthopedics, Sichuan Bayi Rehabilitation Center•Affiliated Rehabilitation Hospital of Chengdu University of TCM, Chengdu 611135, Sichuan Province, China
Supported by:
CLC Number:
Mu Shuai, Xiao Peng, Zhang Jianliang, Hou Weiguang. Incidence of femoral neck shortening after internal fixation of femoral neck fracture and prognostic factors[J]. Chinese Journal of Tissue Engineering Research, 2020, 24(21): 3304-3309.
2.3 一般资料 111例患者中男46例(41.4%),女65例(58.6%),男女性别比0.71∶1;年龄18-87岁,平均 (57.6± 3.4)岁,其中≤60岁62例(55.9%),> 60岁49例(44.1%);左侧骨折58例,右侧53例;骨折Garden分型:Ⅰ型4例(3.6%),Ⅱ型22例(19.8%),Ⅲ型32例(28.8%),Ⅳ型52例(47.7%);术前Singh指数:Ⅰ-Ⅲ度71例(64.0%),Ⅳ-Ⅵ度40例(36.0%);复位质量Garden指数:Ⅰ、Ⅱ级解剖复位69例(62.2%),Ⅲ、Ⅳ级非解剖复位42例(37.8%);术后负重时间1-3个月,平均(1.8±0.3)个月;其中存在至少1种其他系统基础疾病者46例(41.4%),基础疾病主要包括原发性高血压(40例),2型糖尿病(21例),冠状动脉粥样硬化(20例),慢性支气管炎(12例)和房颤(11例)。受伤后至手术时间1-13 d,平均(3.4±0.9) d,其中≤4 d为63例(56.8%)、> 4 d为48例(43.2%)。受伤原因:交通伤45例(40.5%),高处坠落伤 36例(32.4%),摔伤/跌伤30例(27.0%)。 2.4 髋关节功能Harris评分及股骨颈短缩发生率 股骨颈不同短缩程度患者的髋关节功能Harris评分比较显示,股骨颈短缩5-9 mm、10-19 mm和≥20 mm三组的Harris评分均小于<5 mm组,差异有显著性意义(P均< 0.05),见表2。故可以按股骨颈短缩≥5 mm作为分界点,即股骨颈短缩发生率为48.6%(54/111),其中股骨颈短缩10-19 mm的发生率为31.5%(35/111),股骨颈短缩≥20 mm的发生率为5.4%(6/111)。 "
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