股骨颈骨折不愈合高危因素及治疗措施分析

To analyze the high risk factors and treatment measures of bone nonunion of femoral neck fracture

目的对股骨颈骨折不愈合的高危因素进行分析,并探究相关治疗措施。方法采用回顾分析法对180例股骨颈骨折患者进行回顾分析并随访,根据分析结果找出股骨颈骨折不愈合的相关高危因素,并在此基础上进行治疗评价。结果 180例患者中出现愈合例数155例(86.1%),出现骨折不愈合例数25例(13.9%)。致使骨折不愈合的高危因素情况为:年龄、位移骨折、合并症等级。结论影响到股骨颈骨折不愈合的高危因素有年龄、位移骨折以及合并症。除直接对股骨颈骨折愈合造成影响外,各因素间也存在着互相影响,针对这一情况,可以选择相适应的治疗方式进行治疗。

Objective The high risk factors of nonunion of femoral neck fracture were analyzed and the relevant treatment measures were explored.Methods 180 cases of femoral neck fractures were retrospectively analyzed and followed up. The related risk factors for nonunion of femoral neck fractures wereidentified based on the analysis results. Results Of the 180 cases, there were 155 cases of healing（ 86.1%） and 25 cases of fracture nonunion（ 13.9%）. Thehigh risk factors for fracture nonunion are age, displaced fracture, and complication grade. Conclusion The risk factors affecting nonunion of femoral neckfracture are age, displaced fracture and complication. In addition to directly affecting the healing of femoral neck fracture, there are also interactions amongvarious factors. In view of this situation, we can choose a suitable way of treatment.