Chinese Journal of Tissue Engineering Research ›› 2021, Vol. 25 ›› Issue (9): 1410-1416.doi: 10.3969/j.issn.2095-4344.3752
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Du Xiupeng, Yang Zhaohui
Received:
2020-04-03
Revised:
2020-04-10
Accepted:
2020-05-13
Online:
2021-03-28
Published:
2020-12-16
Contact:
Yang Zhaohui, MD, Chief physician, Department of Orthopedics, the Second Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi Province, China
About author:
Du Xiupeng, Master candidate, Physician, Department of Orthopedics, the Second Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi Province, China
CLC Number:
Du Xiupeng, Yang Zhaohui. Effect of degree of initial deformity of impacted femoral neck fractures under 65 years of age on femoral neck shortening[J]. Chinese Journal of Tissue Engineering Research, 2021, 25(9): 1410-1416.
2.3 患者一般资料 53例患者均完成随访,随访12-24个月,末次随访全部骨愈合,无内固定失效及股骨头坏死等不良事件发生。 关节-股骨转子间距指数下降百分比≥30%表示明显短缩,<30%为不明显短缩,其中明显短缩组有7例(13%),不明显短缩组有46例(87%)。Pauwels分型中Ⅰ型12例,Ⅱ型35例,Ⅲ型6例。 2.4 股骨颈短缩相关因素分析 患者年龄(P=0.214)、性别(P=0.691)、Pauwels角大小(P=0.643)在两组中差异无显著性意义;体质量指数(P=0.001)、外翻角(P=0.000)、后倾角(P=0.001)在两组中差异有显著性意义,见表2及图4。将单因素分析结果中P < 0.05的影响因素进行多元Logistic回归分析,以明确明显短缩的影响因素。在Logistic回归模型的多元分析中发现外翻角是嵌插型股骨颈骨折颈短缩的显著预测因子(P=0.041)。外翻角调整后的优势比(OR)为0.469(95%CI:0.226-0.97),见表3。"
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