首页|髋关节骨折置换术后假体松动的影响因素分析

髋关节骨折置换术后假体松动的影响因素分析

Analysis of Influencing Factors of Prosthesis Loosening after Hip Fracture Replacement

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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/m2(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.

hip replacement surgeryprosthesis looseningosteoporosis

胡彦、杨斌、李齐付、高祥文、周大标

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湖北中医药大学附属洪湖市中医医院骨科,湖北洪湖 433200

湖北中医药大学第一临床学院,湖北 武汉 430065

髋关节置换术 假体松动 骨质疏松

湖北省卫生健康委面上项目

ZY2021M034

2024

巴楚医学
三峡大学

巴楚医学

ISSN:2096-6113
年,卷(期):2024.7(3)