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| Multivariate Logistic Regression Analysis of Secondary Traumatic Arthritis After Acetabular Fracture and the Study on Its Prognosis |
| CHENG Huiguang, DUAN Ning, MA Tao, et al |
| Joint Surgery Department, Xi'an Honghui Hospital/Honghui Hospital Affiliated to Xi'an Jiaotong University, Shaanxi Xi'an 710054, China |
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Abstract Objective: To study the influencing factors of the occurrence of secondary traumatic arthritis after surgery for fracture of acetabulum, and analyze the impact of total hip arthroplasty or total hip surface arthroplasty on the prognosis of patients with traumatic arthritis. Methods: The clinical data and follow-up data of 180 patients with acetabular fracture undergoing surgical treatment in our hospital from August 2016 to August 2019 were retrospectively analyzed. All the patients' sex, age, fracture cause, type, operation situation and the occurrence of traumatic arthritis were recorded. The treatment and prognosis of traumatic arthritis were analyzed, and the risk factors of secondary traumatic arthritis were analyzed by multivariate logistic regression analysis. Result: The incidence of postoperative traumatic arthritis in 180 patients with acetabular fracture surgery was 26.67%. Compound fracture,femoral head hose defects, surgery ≥10 days after injury, poor quality of postoperative reduction of fracture, and postoperative intense labor in patients with postoperative traumatic arthritis played a much greater role and the differences were statistically significant(P<0.05). Compound fractures, femoral head tube defects, surgery ≥10 days after injury, poor postoperative reduction quality, and excessive postoperative labor intensity are independent risk factors for traumatic arthritis after acetabular fracture (P<0.05).In the 48 patients with traumatic arthritis, 30 patients were treated with total hip replacement and 18 were treated with total hip surface replacement. All patients had significantly improved in hip joint function after operation, and no infection, loosening of prosthesis and joint dislocation. Conclusion: Traumatic arthritis after acetabular fracture should not be underestimated, especially for patients with compound fractures, femoral head tube defects, delayed surgery after injury, poor quality of postoperative reduction, and excessive postoperative labor intensity, targeted interventions should be given to reduce the incidence of traumatic arthritis. For patients with complicated traumatic arthritis, total hip replacement and total hip surface replacement have clinical efficacy and safety.
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2020, Vol. 26 
