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Composite indices of femoral neck strength predicts the collapse of steroid-associated osteonecrosis of the femoral head: a retrospective study

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资源类型：
Pubmed体系：
作者：
Lin Tianye[1,2] * ; Cai Kaishen[3] ; Yang Peng[2] ; WuRi Shana[2] ; Chen Weijian[4] ; Deng Pan[5] ; Li Ziqi[1,2] ; Chen Zhenqiu[6] ; He Wei[1,2] ; Zhang Qingwen[1,2] ; Wei Qiushi[1,2] ;
机构： [1]Joint Center, the Third Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510405, China. [2]Guangdong Research Institute for Orthopedics & Traumatology of Chinese Medicine, Guangzhou, Guangdong 510405, China. [3]The First Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510405, China. [4]Guangzhou Orthopedic Hospital, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510405, China. [5]Department of Joint Orthopaedic, Baoji Hospital of Traditional Chinese Medicine, Baoji, Shaanxi 721000, China. [6]The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510405, China.
出处：
DOI： 10.1186/s12891-022-05622-0

关键词： Steroid-associated Osteonecrosis of the Femoral Head Prediction Collapse Impact strength index Bone turnover marker

摘要：
The purpose of this study was to investigate the predictive effect exerted by composite indices of femoral neck strength (compressive strength index (CSI), bending strength index (BSI) and impact strength index (ISI) on the femoral head collapse in steroid-associated ONFH patients.Nonoperative steroid-associated osteonecrosis of the femoral head (ONFH) patients from 2017 to 2019 were selected. The patients fell into the collapsed group and the non-collapsed group according to whether the femoral head collapsed. CSI, BSI and ISI were calculated. Moreover, bone turnover markers were measured. The statistical analysis was conducted on the predictive effects of composite indices of femoral neck strength and bone turnover index on ONFH collapse.A total of 62 patients were included. The mean CSI, BSI and ISI were significantly lower in the collapsed group than those in the non-collapsed group (P < 0.05). CSI, ISI,t-P1NP and β-CTx were suggested as the protective risk factors for the femoral head collapse in ONFH patients. The ISI area under the curve values was 0. 878.The mean survival time of the hips of patients with ISI greater than 0.435 was greater (P < 0.05) than that of patients with ISI less than 0.435.The composite indices of femoral neck strength can predict steroid-associated ONFH femoral head collapse more effectively than the bone turnover markers. The ISI value of 0.435 is a potential cut-off value, lower than this value can predict the early collapse of steroid-associated ONFH.© 2022. The Author(s).

基金：
Publication charges for this article were funded by Natural Science Foundation of China (81873327,81573996).Guangdong Traditional Chinese Medicine Administration Project(20223012).Science and Technology Planning Project of Guangdong Province of China (2017B090912007)."Double First Class" and High-level University Discipline Collaborative Innovation Team Project of Guangzhou University of Chinese Medicine(2021XK05,2021XK41,2021XK46).
语种：
外文
PubmedID：
中科院(CAS)分区：
出版当年[2021]版：
大类 | 3 区 医学
小类 | 4 区 骨科 4 区 风湿病学
最新[2025]版：
大类 | 3 区 医学
小类 | 3 区 骨科 3 区 风湿病学
第一作者：
第一作者机构： [1]Joint Center, the Third Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510405, China. [2]Guangdong Research Institute for Orthopedics & Traumatology of Chinese Medicine, Guangzhou, Guangdong 510405, China.
通讯作者：
通讯机构： [1]Joint Center, the Third Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510405, China. [2]Guangdong Research Institute for Orthopedics & Traumatology of Chinese Medicine, Guangzhou, Guangdong 510405, China.
推荐引用方式(GB/T 7714)：
Lin Tianye,Cai Kaishen,Yang Peng,et al.Composite indices of femoral neck strength predicts the collapse of steroid-associated osteonecrosis of the femoral head: a retrospective study[J].BMC musculoskeletal disorders.2022,23(1):722.doi:10.1186/s12891-022-05622-0.
APA：
Lin Tianye,Cai Kaishen,Yang Peng,WuRi Shana,Chen Weijian...&Wei Qiushi.(2022).Composite indices of femoral neck strength predicts the collapse of steroid-associated osteonecrosis of the femoral head: a retrospective study.BMC musculoskeletal disorders,23,(1)
MLA：
Lin Tianye,et al."Composite indices of femoral neck strength predicts the collapse of steroid-associated osteonecrosis of the femoral head: a retrospective study".BMC musculoskeletal disorders 23..1(2022):722

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