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首页> 外文期刊>Journal of the Chinese Medical Association: JCMA >Concomitant hip and distal radius fractures
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Concomitant hip and distal radius fractures

机译：伴随的hip骨和fracture骨远端骨折

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Background: Concomitant ipsilateral hip and distal radius fractures are uncommon, and little research has been published about these injuries. Our aim was to evaluate the characteristics and results of treatment for these injuries. Methods: Between 2006 and 2012, 35 concomitant hip and distal radius fractures were identified, comprising the study group. The characteristics and results of treatment for these injuries were evaluated and analyzed. Another matched control group with isolated hip fractures was collected for comparison of patient characteristics, fall mechanism, fracture pattern, bone density, and functional recovery. Results: For the patients with concomitant fractures, the average age was 77.6 years, and the female-to-male ratio was 6:1 (30:5). The majority (91.4%) of patients sustained ipsilateral injuries. Among the controlled pairs, 20 (57.1%) patients in the study group sustained a backward fall, and 25 (71.4%) patients in the control group had a sideways fall. With respect to the pattern of hip fracture, 22 (62.9%) patients in the study group had femoral neck fractures and 20 (57.1%) patients in the control group had pertrochanteric fractures. The average hospital stay was 15.3 days in the study group versus 10.2 days in the control group. Twenty-five (71.4%) patients in the study group and 27 (77.1%) patients in the control group had osteoporosis. The average Barthel index score was 75.1 in the study group and 75.7 in the control group. Conclusion: Concomitant hip and distal radius fractures were generally ipsilateral and involved the femoral neck after a backward fall. These patients were younger than and not more osteoporotic than the population with isolated hip fractures; however, the hospital stay was significantly increased. The functional outcome was not influenced by concomitant wrist fracture.
机译：背景：并发的同侧髋关节和radius骨远端骨折并不常见，关于这些损伤的研究很少。我们的目的是评估这些损伤的特征和治疗结果。方法：在2006年至2012年期间，确定了35例伴随hip骨和远端distal骨骨折，包括研究组。对这些损伤的特征和治疗结果进行了评估和分析。收集另一个具有孤立的髋部骨折的匹配对照组，以比较患者的特征，跌倒机制，骨折模式，骨密度和功能恢复。结果：伴有骨折的患者的平均年龄为77.6岁，男女之比为6：1（30：5）。大多数（91.4％）患者受到同侧损伤。在对照组中，研究组中有20名患者（57.1％）持续倒退，对照组中有25名患者（71.4％）侧身跌倒。就髋部骨折的类型而言，研究组的22例（62.9％）患者患有股骨颈骨折，对照组的20例（57.1％）患者患有股骨转子周围骨折。研究组的平均住院时间为15.3天，而对照组为10.2天。研究组中有25名（71.4％）患者和对照组中有27名（77.1％）患者患有骨质疏松症。研究组的Barthel指数平均得分为75.1，对照组为75.7。结论：伴有髋骨和distal骨远端骨折通常在同侧，并在向后跌倒后累及股骨颈。这些患者比单纯髋骨骨折的人群年轻，但骨质疏松程度不高。但是，住院时间明显增加。功能预后不受手腕骨折的影响。

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