Analysis and prevention of the failure reason of internal fixation in peritrochanteric fractures

VernacularTitle:股骨转子间骨折内固定失败原因与预防
Author: Fenqiang LIN ; Dongling CAI
Publication Type:Journal Article
Keywords: Femoral neck fractures; Internal fixators; Risk factors
From: Chinese Journal of Postgraduates of Medicine 2013;36(32):38-40
CountryChina
Language:Chinese
Abstract: Objective To summarize and analyze the failure reason of internal fixation operation in peritrochanteric fractures and propose appropriate prevention measures.Methods The clinical data of 229 patients with peritrochanteric fractures were retrospectively analyzed,the failure reason of internal fixation was analyzed by the univariate and multivariate Logistic regression analysis.Results The univariate analysis showed that the patients' age,gender composition,types of internal fixation had no significantly correlated with the failure of internal fixation (P ＞ 0.05) ; the Garden reset index,bone quality,fracture type and load time had significantly correlated with the failure of internal fixation (P ＜ 0.05).The multivariate Logistic analysis showed that load time was the independent risk factors for fixation failure (OR =13.515).Conclusion The weight-bearing time points should be selected according to the bone quality,fracture type,and degree of intraoperative reset,thereby reducing the risk of surgery failure.