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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Influence of coincident distal radius fracture in patients with hip fracture: single-centre series and meta-analysis
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Influence of coincident distal radius fracture in patients with hip fracture: single-centre series and meta-analysis

机译：radius骨远端远端骨折对髋部骨折患者的影响：单中心系列和荟萃分析

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摘要

Hip and wrist fractures are the most common orthopaedic injuries. Combined hip and distal radius fractures are an important clinical and public health problem, since mobilisation and rehabilitation is challenging and likely to be prolonged in this setting. Few studies have explored the influence of an associated wrist fracture in patients with hip fracture. We present the largest series of patients with concomitant hip and wrist fractures. We perform the first meta-analysis of the literature on patients with concurrent hip and wrist fractures. In this single-centre retrospective study we compared 88 consecutive patients with simultaneous hip and wrist fractures with 772 consecutive patients who suffered isolated hip fractures. Patients with the combined fracture were of a similar age compared to those with isolated hip fracture. There were a significantly higher proportion of women in the cohort with both hip and wrist fractures (female:male ratio of 9:1 versus 4:1 p  0.0001). The combination fracture group had a greater length of hospitalisation (18 vs 13 days p  0.0001). The survivorship of both groups was not significantly different even after adjustment for age and gender. Meta-analysis of the literature showed female preponderance, increased length of stay but no significant difference in survival in patients with concomitant hip and wrist fractures. The combination fracture occurs much more commonly in women and patients require a greater length of hospitalisation. The patients who sustained simultaneous hip and wrist fractures experienced no statistically significant difference in survivorship when compared to those who suffer isolated hip fractures. This is not withstanding the presence of two fractures. This difference in mortality did not reach statistical significance. Level III (retrospective comparative study).
机译：髋部和腕部骨折是最常见的骨科损伤。髋骨和distal骨远端骨折合并症是一个重要的临床和公共卫生问题，因为动员和康复工作具有挑战性，并且在这种情况下可能会延长。很少有研究探讨相关的腕部骨折对髋部骨折患者的影响。我们介绍了最大的同时伴有髋部和腕部骨折的患者。我们对同时发生的髋部和腕部骨折的患者进行了首次文献荟萃分析。在这项单中心回顾性研究中，我们将88例同时发生髋部和腕部骨折的连续患者与772例单纯性髋部骨折的连续患者进行了比较。与单纯髋部骨折相比，合并骨折的患者年龄相近。在患有髋部和腕部骨折的队列中，女性比例显着更高（女性：男性比例为9：1对4：1 p <0.0001）。合并骨折组的住院时间更长（18天vs 13天，p <0.0001）。即使调整了年龄和性别，两组的生存率也没有显着差异。文献的荟萃分析显示，女性合并髋部和腕部骨折的患者中女性占优势，住院时间增加，但生存率无显着差异。合并骨折多见于女性，患者需要更长的住院时间。与同时发生髋部和腕部骨折的患者相比，髋部和腕部同时骨折的患者的生存率在统计学上无显着差异。尽管存在两个裂缝，但这并不是事实。死亡率的差异没有统计学意义。第三级（回顾性比较研究）。

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