Fixation of intracapsular fractures of the femoral neck in young patients RISK FACTORS FOR FAILURE
Fixation of intracapsular fractures of the femoral neck in young patients RISK FACTORS FOR FAILURE
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DOI：
10.1302/0301-620x.93b6.26432
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发表时间：
2011-06-01
影响因子：
--
通讯作者：
Keating, J. F.
中科院分区：
文献类型：
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作者：
Duckworth, A. D.;Bennet, S. J.;Keating, J. F.
本研究的目的是确定年轻患者接受移位性股骨颈骨折固定失败的合并症危险因素。我们从前瞻性数据库中确定了所有此类患者（24小时）、酒精过量和既往存在的肾脏、肝脏或呼吸系统疾病均可预测衰竭（均p < 0.05）。其中，多变量分析显示，酒精过量、肾脏疾病和呼吸系统疾病最能预测治疗失败。年轻的股骨颈骨折患者应仔细评估其合并症，这些合并症会增加复位和固定后失败的风险。对于有酒精滥用史、肾脏或呼吸系统疾病的患者，应考虑将关节置换术作为替代治疗方法。
The aim of this study was to determine the comorbid risk factors for failure in young patients who undergo fixation of a displaced fracture of the femoral neck. We identified from a prospective database all such patients 24 hours), alcohol excess and pre-existing renal, liver or respiratory disease were all predictive of failure (all p < 0.05). Of these, alcohol excess, renal disease and respiratory disease were most predictive of failure on multivariate analysis.Younger patients with fractures of the femoral neck should be carefully evaluated for comorbidities that increase the risk of failure after reduction and fixation. In patients with a history of alcohol abuse, renal or respiratory disease, arthroplasty should be considered as an alternative treatment.