摘要
目的探讨髌骨脱位合并骨软骨骨折(OCF)的相关危险因素。方法采用病例对照研究分析2016年1月至2020年6月兰州大学第二医院收治的278例髌骨脱位患者临床资料,其中男98例,女180例;年龄12~41岁[(21.1±4.6)岁]。根据手术记录及术中关节镜探查是否合并OCF,分为OCF组(112例)和非OCF组(166例)。记录两组患者基本特征(包括性别、年龄、侧别、骨骺是否闭合),以及髌骨高度、髌骨倾斜角、胫骨结节-股骨滑车距离(TT-TG)、股骨滑车形态、胫骨外旋角和股骨前倾角。采用单因素分析上述指标与髌骨脱位合并OCF的相关性。采用多因素Logistic回归分析确定髌骨脱位合并OCF的独立危险因素。结果单因素分析结果显示,男性、髌骨倾斜角和股骨前倾角与髌骨脱位合并OCF有一定的相关性(P<0.05或0.01);年龄、骨骺是否闭合、侧别、髌骨高度、TT-TG、股骨滑车形态和胫骨外旋角与髌骨脱位合并OCF不相关(P均>0.05)。多因素Logistic回归分析结果表明,男性(OR=1.75,95%CI 1.07~2.90,P<0.05)和股骨前倾角增大(OR=3.12,95%CI 1.89~5.17,P<0.05)与髌骨脱位合并OCF显著相关。结论男性、股骨前倾角增大是髌骨脱位合并OCF的独立危险因素。
Objective To investigate the related risk factors related to patellar dislocation combined with osteochondral fracture(OCF).Methods A case control study was conducted to analyze the clinical data of 278 patients with patellar dislocation admitted to Second Hospital of Lanzhou University from January 2016 to June 2020,including 98 males and 180 females;aged 12-41 years[(21.1±4.6)years].The patients were divided into OCF group(n=112)and non-OCF group(n=166)according to the surgical records and occurrence of OCF or not under intraoperative arthroscopy.The data of the two groups were recorded,including basic characteristics(ie,sex,age,sides of injury,whether or not the epiphysis is closed),patella height,patellar inclination angle,tibial tubercle-trochlear groove(TT-TG),femoral trochlear shape,tibial lateral rotation angle and femoral anteversion angle.Univariate analysis was adopted to evaluate the correlation of the data with patellar dislocation combined with OCF.Multivariate Logistic regression analysis was used to determine the independent risk factors of patellar dislocation combined with OCF.Results Univariate analysis showed that patellar dislocation combined with OCF was related to male,patellar inclination angle and femoral anteversion angle(P<0.05 or 0.01),while not to age,epiphysis is closed or not,sides of injury,patella height,TT-TG,femoral trochlear shape and tibial lateral rotation angle(all P>0.05).Multivariate Logistic regression analysis showed that male(OR=1.75,95%CI 1.07-2.90,P<0.05)and increased femoral anteversion angle(OR=3.12,95%CI 1.89-5.17,P<0.05)were significantly correlated with patellar dislocation combined with OCF.Conclusion Male and increased femoral anteversion angle are independent risk factors for patellar dislocation combined with OCF.
作者
姜金
詹红伟
王修远
姚长江
徐立虎
靳佳欣
夏亚一
吴萌
Jiang Jin;Zhan Hongwei;Wang Xiuyuan;Yao Changjiang;Xu Lihu;Jin Jiaxin;Xia Yayi;Wu Meng(Department of Orthopedics,Second Hospital of Lanzhou University,Lanzhou 730030,China)
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2022年第12期1095-1099,共5页
Chinese Journal of Trauma
基金
国家自然科学基金(82160422)
甘肃省自然科学基金(21JR7RA393,22JR5RA984)
兰州大学第二医院“萃英科技创新”计划(CY2020-BJ03)。
关键词
髌骨脱位
骨折
危险因素
男性
Patellar dislocation
Fractures,bone
Risk factors
Male
