Abstract:
Objective To explore the influencing factors for functional recovery of hip joint after hip replacement in elderly patients with femoral neck fracture.
Methods 100 elderly patients with femoral neck fracture admitted to Changqing People's Hospital of Jinan City during January 2015 and October 2020 were retrospectively selected. All patients received hip replacement, and were followed up one month after surgery. According to the Harris hip function score, the patients were divided into group with good recovery (67 cases) and group with poor recovery (33 cases). The clinical baseline data of the two groups were collected for univariate analysis, and the statistically significant factors were included in the multivariate unconditional Logistic regression analysis model to screen the independent risk factors.
Results Univariate analysis showed that, the proportions of patients aged 70 years or above, complicated with 2 or more medical diseases, catheter indwelling time≥24 hours, operation time≥2 hours, postoperative ambulation time≥7 days, agitation during recovery and perioperative deep venous thrombosis of lower extremity in the poor recovery group were higher than those in the good recovery group (P < 0.05), and the recessive blood loss was greater than that in the good recovery group(P < 0.05). Multivariate unconditional Logistic regression analysis showed that, age≥70 years, complicated with 2 or more medical diseases, big recessive blood loss, operation time≥2 hours, agitation during recovery and perioperative deep venous thrombosis of lower extremity were independent risk factors for hip function recovery after hip replacement in elderly patients with femoral neck fracture (OR=1.324, 1.392, 1.436, 1.531, 1.478 and 1.454, P < 0.05).
Conclusion Age≥70 years, complicated with 2 or more medical diseases, big recessive blood loss, operation time≥2 hours, agitation during recovery and perioperative deep venous thrombosis of lower extremity are risk factors for functional recovery of hip joint after hip replacement in elderly patients with femoral neck fracture, and effective measures should be taken in time to promote the rapid recovery of hip function.
Key words:
Femoral neck fracture,
Aged,
Hip replacement,
Treatment outcome,
Influencing factors
Meng Gao, Jun Guo, Songge Dong. Influencing factors for functional recovery of hip joint after hip replacement in elderly patients with femoral neck fracture[J]. Chinese Journal of Geriatrics Research(Electronic Edition), 2021, 08(04): 10-13.