Study on the Investigation of Osteoporosis Affecting the Hip Joint Recovery for the Intertrochanteric Fracture Patients With PFNA Operation
Objective To investigate the effect of osteoporosis on the hip joint recovery for the intertrochanteric fracture patients with proximal femoral nail antirotation(PFNA)operation.Methods A total of 115 patients diagnosed with intertrochanteric fracture of femur and receiving PFNA surgery in the department of orthopedics and traumatology,Hai'an Municipal TCM Hospital from January 1,2021 to September 1,2022,who met relevant criteria,were included in the study,and were divided into 49 patients in the control group and 66 patients in the osteoporosis group.All the patients received the operation of PFNA.The recovery times of lower limb were gotten by telephone reviews of the doctors or active information of patients.Kaplan-Meier belonging to survival analysis methods was used to calculate the median recovery time of lower limb function and the 95%confidence interval(CI).With Breslow and Log-Rank methods,the recovery time difference between the groups was compared.Multiple factors Cox regression was applied to investigate the factors affecting the recovery time speed for the patients.Results The median recovery time of lower limb function for the control group was 13.84 d,95%CI 12.91 to 14.78 d,with 16.94 d,and 95%CI 15.99 to 17.89 d for the osteoporosis group,the difference was statistically significant(P<0.001).Cox model found osteoporosis had an effect on the recovery time of lower limb function(HR=0.265,95%CI 0.172 to 0.410,P<0.001).Conclusion Osteoporosis could delay the clinical recovery time of lower limb function for patients diagnosed as intertrochanteric fracture and suffering from PFNA operation.However,anti-osteoporosis drug might have no effect.
osteoporosisanti-osteoporosis drugsintertrochanteric fracturePFNAhip joint recoveryrecovery time
万方数据
维普
