Related factors affecting prognostic function of hip joint in patients with femoral intertrochanteric fractures
Abstract：BACKGROUND: Although the blood supply of femoral intertrochanter is abundant and the fracture is easier to achieve union, a part of patients are associated with poor function after prognosis.OBJECTIVE: To explore the risk factors affecting the treatment outcome of femoral intertrochanteric fractures so as to provide a guide for a further improvement of curative effect.DESIGN: Retrospective analysis of risk factors according to the diagnose.SETTING and PARTICIPANTS: The experiment was finished in the Department of Orthopedics, Xuanwu Hospital, Capital University of Medical Sciences. A total of 121 patients including 67 males and 54 females between the ages of 47 and 91 years with intertrochanteric fractures admitted in hospital were reviewed.INTERVENTIONS: Measures were analyzed by univariance analysis. Quantitative data were processed with t test and qualitative data with x2 test. The parameters with P ＜ 0. 05 were analyzed with Logistic regression.MAIN OUTCOME MEASURES: Age, sex, fracture types, therapeutic measure, reduction status, health evaluation of old traumatized patients (HEOTP), multi-injury and hip score.RESULTS: According to Harris' hip score (HHS), 31 cases were excellent,33 cases were fine, 47 cases were in middle level and 10 cases were bad. Univariance analysis manifested that age( t =4. 072, P =0. 001), therapeutic measure(X2 = 34. 43, P = 0. 000), reduction status(X2 = 16. 9, P =0. 000), HEOTP( t = 14.09, P =0. 000) and multi-injury(X2 =4. 109, P =0.037) were closely correlated with the prognosis of the femoral intertrochanteric fractures with a significant difference( P ＜ 0. 05) . Logistic regression also showed that age ( r = - 0. 125 3, P = 0. 008 6), therapeutic measure( r= - 1. 747 8, P=0. 010 7), reduction status(r= -2. 083 9,P=0.002 9), HEOTP(r = -0.058 2, P=0.000 2), multi-injury(r=-4. 782 2, P =0. 010 2) were independent risk factors affecting hip score and prognosis of the femoral intertrochanteric fractures( P ＜ 0.05).CONCLUSION: The function of hip suffering intertrochanteric fracture is obvious affected by age, therapeutic measure, reduction status, HEOTP and multi-injury.
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Publication Date：2004-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 4857-4859 )