髋关节置换术治疗老年移位型股骨颈骨折患者的效果观察

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Abstract Objective To investigate the effect of hip arthroplasty(HA)and internal fixation(IF)in the treatment of displaced femoral neck fracture in elderly patients.Methods 65 cases of elderly patients with femoral neck fracture were selected as the subjects,who were hospitalized in our hospital from July 2010 to January 2015.They were divided into the HA group(31 cases)and the IF group(34 cases)according to different treatment methods.The patients in the IF group were treated with IF,and the patients in the HA group were treated with HA.The intraoperative blood loss,duration of operation,length of hospital stay,incidence of postoperative complication and reoperation rate in the two groups were recorded.The hip function of the two groups was compared in the first,second years after operation.Results Compared with the HA group,the IF group patients had less intraoperative bleeding,shorter operation time and shorter hospitalization time,and the difference between the two groups was statistically significant(P＜0.05).The long term postoperative complication rate was 26.5%in the IF group and was 9.7%in the HA group,the reoperation rate was 23.5%in the IF group and was 6.5%in the HA group,the difference between the two groups was statistically significant(P＜0.05).The excellent and good rate of hip joint function in the HA group was better than that in the IF group,the difference between the two groups was statistically significant(P＜0.05).Conclusion The long-term clinical effect of HA in the treatment of displaced femoral neck fracture in elderly patients is better than that of internal fixation and it is worthy of clinical promotion.

Key words： Hip arthroplasty Internal fixation Femoral neck fracture Elderly patients Hip joint function

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GUO Wen-long. Effect observation of hip arthroplasty in the treatment of displaced femoral neck fracture in elderly patients[J]. 中国当代医药, 2018, 25(1): 79-81.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I1/79

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