摘要
目的:分析髋关节骨折置换术后假体松动的影响因素。方法:纳入2018年9月—2022年6月在湖北中医药大学附属洪湖市中医医院行全髋关节置换术的118例患者,根据术后关节是否松动分为不松动组(n=109)和松动组(n=9)。收集患者临床资料,采用单因素和多因素Logistic回归分析术后假体松动的独立影响因素。结果:髋关节置换术后假体松动的发生率为7.63%(9/118),多因素Logistic回归分析结果显示,高龄≥75岁(OR=2.623,95%CI:2.370,4.784)、骨质疏松(OR=3.280,95%CI:4.470,7.538)、BMI>28 kg/m^(2)(OR=2.936,95%CI:4.816,6.781)、假体周围骨折(OR=3.739,95%CI:5.210,6.705)均是术后假体松动的独立影响因素(均P<0.05)。结论:高龄、骨质疏松、超重、假体周围骨折是髋关节置换术后假体松动的独立影响因素。
Objective:To analyze the influencing factors of prosthesis loosening after hip joint fracture replacement.Methods:A total of 118 patients who underwent total hip arthroplasty in Honghu Hospital of Traditional Chinese Medicine Affiliated to Hubei University of Chinese Medicine from September 2018 to June 2022 were included.The patients were divided into non-loosening group(n=109)and loosening group(n=9)according to whether the joint was loose after surgery.The clinical data of the patients were collected,and univariate and multivariate Logistic regression analysis were used to analyze the independent influencing factors of prosthesis loosening after surgery.Results:The incidence of prosthesis loosening after hip replacement surgery was 7.63%(9/118).Multivariate Logistic regression analysis showed that age≥75 years(OR=2.623,95%CI:2.370,4.784),osteoporosis(OR=3.280,95%CI:4.470,7.538),BMI>28 kg/m2(OR=2.936,95%CI:4.816,6.781),and periprosthetic fractures(OR=3.739,95%CI:5.210,6.705)were all independent influencing factors for prosthesis loosening after surgery(all P<0.05).Conclusion:Advanced age,osteoporosis,overweight,and periprosthetic fractures are independent influencing factors for prosthesis loosening after hip replacement surgery.
作者
胡彦
杨斌
李齐付
高祥文
周大标
Hu Yan;Yang Bin;Li Qifu;Gao Xiangwen;Zhou Dabiao(Department of Orthopedics,Honghu Hospital of Traditional Chinese Medicine Affiliated to Hubei University of Chinese Medicine,Honghu 433200,China;The First Clinical College of Hubei University of Chinese Medicine,Wuhan 430065,China)
出处
《巴楚医学》
2024年第3期46-49,共4页
Bachu Medical Journal
基金
湖北省卫生健康委面上项目(No:ZY2021M034)。
关键词
髋关节置换术
假体松动
骨质疏松
hip replacement surgery
prosthesis loosening
osteoporosis
