2.
股骨颈骨折内固定术后发生股骨头坏死的单因素卡方检验
χ2 test for necrosis of femoral head after internal fixation
| Parameter | Total(n=113) | Necrosis(n=18) | Non-necrosis(n=95) | OR | P value | 95%CI |
| BMI, body mass index; ASA, American Society of Anesthesiology; CCS, cannulated compression screw; DHS, dynamic hip screw. a, ASA Ⅲ was set as the standard; b, basal was set as the standard; c, Pauwels Ⅲ was set as the standard; d, reduction quality C was set as the standard. | ||||||
| Gender | 1.29 | 0.62 | 0.46, 3.64 | |||
| Male | 63 | 11 | 52 | |||
| Female | 50 | 7 | 43 | |||
| Age/years | 0.91 | 0.86 | 0.33, 2.57 | |||
| < 40 | 46 | 7 | 39 | |||
| 40-60 | 67 | 11 | 56 | |||
| BMI/(kg/m2) | 0.69 | 0.53 | 0.22, 2.18 | |||
| ≤25 | 88 | 13 | 75 | |||
| >25 | 25 | 5 | 20 | |||
| ASA gradea | 0.24 | |||||
| Ⅰ | 21 | 1 | 20 | 0.16 | 0.06 | 0.02, 1.37 |
| Ⅱ | 55 | 9 | 46 | 0.71 | 0.52 | 0.25, 2.05 |
| Ⅲ | 37 | 8 | 29 | |||
| Reason of fracture | 0.19 | <0.01 | 0.06, 0.55 | |||
| Low-energy trauma | 75 | 6 | 69 | |||
| High-energy trauma | 38 | 12 | 26 | |||
| Interval between injury and surgery | 1.09 | 0.86 | 0.39, 3.07 | |||
| ≤ 3 d | 67 | 11 | 56 | |||
| >3 d | 46 | 7 | 39 | |||
| Side of fracture | 0.63 | 0.38 | 0.23, 1.75 | |||
| Left | 61 | 8 | 53 | |||
| Right | 52 | 10 | 42 | |||
| Location of fracture lineb | 0.71 | |||||
| Subcapital | 37 | 7 | 30 | 1.07 | 0.50 | 0.98, 1.17 |
| Transverse | 74 | 11 | 63 | 1.03 | 0.56 | 0.99, 1.08 |
| Basal | 2 | 0 | 2 | |||
| Garden classification | 0.13 | <0.01 | 0.03, 0.59 | |||
| Ⅰ and Ⅱ | 49 | 2 | 47 | |||
| Ⅲ and Ⅳ | 64 | 16 | 48 | |||
| Pauwels classificationc | 0.02 | |||||
| Ⅰ | 21 | 1 | 20 | 0.12 | 0.02 | 0.01, 0.99 |
| Ⅱ | 55 | 6 | 49 | 0.29 | 0.02 | 0.10, 0.87 |
| Ⅲ | 37 | 11 | 26 | |||
| Reduction method | 0.75 | 0.80 | 0.08, 7.10 | |||
| Closed | 108 | 17 | 91 | |||
| Open | 5 | 1 | 4 | |||
| Internal fixation | 3.29 | 0.04 | 1.01, 10.71 | |||
| CCS | 63 | 14 | 49 | |||
| DHS | 50 | 4 | 46 | |||
| Reduction qualityd | <0.01 | |||||
| A | 91 | 9 | 82 | 0.33 | 0.34 | 0.03, 3.51 |
| B | 18 | 8 | 10 | 2.40 | 0.47 | 0.21, 27.72 |
| C | 4 | 1 | 3 | |||