老年股骨转子间骨折髓内钉内固定术后髋关节功能恢复不良的相关因素分析

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Abstract Objective To investigate the related factors of poor recovery of hip joint function after intramedullary nailing in elderly patients with intertrochanteric fracture. Methods A total of 129 elderly patients with femoral intertrochanteric fractures admitted to Panjin Central Hospital from March 2015 to March 2017 were selected for study. All patients were treated with intramedullary nailing. All patients were followed up for one year and divided into the group with good functional recovery (95 cases, good group) and the group with poor functional recovery (34 cases, adverse group) according to Maryland foot function score. Basic data and postoperative recovery were compared between the two groups, and multivariate Logistic regression analysis was performed. Results The age of the good group was significantly lower than that of the adverse group, and the bone mineral density T≥-2.5SD, plasma albumin level ≥ 30 g/L, and the number of patients classified as P1-P2 by American seciety of anesthesiologists (ASA) was significantly higher than that of the adverse group (all P ＜ 0.05). Compared with the good group, the percentage of patients with satisfactory reduction and recovery was higher in the adverse group, and the postoperative complications were lower in the adverse group (all P ＜ 0.05). After multiariable Logistic regression analysis available: age ≥70, bone mineral density T＜-2.5 SD, ASA grade P3 - P4 level, plasma albumin levels ＜ 30 g/L, no Kangfushi rehabilitation and reset dissatisfied, perioperative complications were elderly femoral fracture internal fixation with intramedullary nail between rotor independent risk factors for poor recovery of hip joint function (all P ＜ 0.05). Conclusion Elderly femoral fracture internal fixation with intramedullary nail between rotor poor recovery of hip function related factors including age, bone mineral density, ASA sizing, plasma albumin levels, Kangfushi rehabilitation, fracture, perioperative complications, such as clinical work should be related intervention measures in view of the above factors, so as to achieve the goal of improve patients postoperative hip joint function.

Key words： Intertrochanteric fracture of femur Old age Internal fixation with intramedullary nail Hip function

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	WANG Xianming SHAO Pengyue MA Wanli WANG Peng

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WANG Xianming SHAO Pengyue MA Wanli WANG Peng. Analysis of related factors of poor recovery of hip joint function after intramedullary nailing for elderly patients with intertrochanteric fracture[J]. 中国医药导报, 2019, 16(6): 58-61.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I6/58

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