跨假肢与周假肢股骨骨折的特征和结果
Nigel Blackwood1, Doriann M Alcaide2, Jose L Ayala-Ortiz3
1Department of Orthopaedic Trauma, University of Alabama at Birmingham, 510 20th St S, Faculty Office Tower 1105, Birmingham, AL 35294, USA.
Injury
|August 14, 2025
概括
跨假肢大腿骨骨折 (IPFF) 发生在老年患者中,与周假肢大腿骨骨折 (PPFF) 相比,死亡率,植入物失败和感染率更高. 指甲板混合结构 (NPC) 可能会改善IPFF的结果.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
- 生物医学工程 生物医学工程
背景情况:
- 周围假肢大腿骨骨折 (PPFFs) 越来越令人担忧,关节整形手术的发生率越来越高.
- 在两个植入物之间发生的假肢间骨折 (IPFFs) 带来了独特的挑战.
- 对于IPFF与PPFF在患者人口统计学,治疗和结果方面存在有限的比较数据.
研究的目的:
- 为了比较跨假肢大腿骨折 (IPFFs) 和周假肢大腿骨折 (PPFFs) 的人口统计数据,治疗方法和结果.
- 调查IPFF发生在老年患者中,并表现出更高的重复手术,植入失败和死亡率的假设.
主要方法:
- 在2012-2024年1级创伤中心对患有PPFF或IPFF的成年患者进行回顾性队列研究.
- 排除标准包括不到30天随访的患者.
- 患者特征,治疗策略和IPFF和PPFF组之间的并发症率的比较.
主要成果:
- 与PPFF队列 (246名患者) 相比,IPFF队列 (30名患者) 的年龄较大 (74岁vs. 69岁),患有骨质疏松症 (33%vs. 11%),吸烟率较高.
- IPFF更频繁地呈现不稳定的假肢 (40%与21%) 并经历了更大的血液损失 (811mL与513mL).
- IPFF的死亡率明显高 (15%与4%相比),植入物失败率高 (23%与7%相比),表面感染率高 (15%与4%相比).
结论:
- 假肢间骨骨折 (IPFFs) 与老年,骨质疏松症等并发症以及更不稳定的假肢有关.
- 与PPFF相比,IPFF的死亡率,植入物失败率和表面感染率更高.
- 指甲板混合结构 (NPC) 可能会促进IPFF的早期权重,这需要进一步的前性调查,以获得长期的结果.
更多相关视频
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
3.1K
06:58Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
Published on: August 17, 2017
10.1K
相关概念视频
01:27Fractures: Bone Repair
3.7K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.7K
01:16Bones of the Lower Limb: Femur and Patella
2.9K
The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
2.9K