全髋和半髋置换治疗老年股骨颈骨折的临床对比分析.

Objective: To investigate the clinical efficacy of total hip and half hip hemiarthroplasty for elderly femoral neck fractures. Methods: 70 cases of femoral neck fracture patients in our hospital were randomly divided into observation group and control group with 35 cases in each group, the observation group was given total hip replacement while the control group was given half hip replacement, the operation time, intraoperative blood loss, postoperative Harris scores and the function of hip joint, postoperative complications, pain rate and revision rate of two groups were compared. Results: In the observation group, the operation time and the amount of bleeding was higher than those of the control group,[(113.6±19.3)min,(432.1±32.7)m L vs(73.1±10.2)min,(201.3±30.1)m L](all P<0.05); The total excellent and good rate and Harris score of hip function assessment in the observation group was significantly better than that of control group [91.4%,(91.13±5.09) points vs 77.14%,(80.15±4.71)points](all P<0.05); The incidence of adverse reaction and the revision rate of the observation group was lower than that of control group(20.00%, 0.00% vs 22.85%, 5.71%), but, there was no significant difference(all P>0.05); The pain rate in observation group was 5.71%, significantly lower than 25.71% of the control group(P<0.05). Conclusion: Both two methods, with their own advantages and disadvantages, were effective in the treatment for the elderly patients with femoral neck fracture, for the elderly patients with sensitive painfulness and more activity, the total hip arthroplasty will be a prior therapy. [ABSTRACT FROM AUTHOR]