The observation of the artificial hip arthroplasty in the treatment of elderly patients with femoral neck fracture / 中国基层医药

ABSTRACT

ObjectiveTo investigate the effect of hip arthroplasty(THA or HHA) and routine internal fixation in the treatment of elderly patients with femoral neck fracture.Methods158 elderly patients with femoral neck fracture were randomly divided into 3 groups.55 cases of them(THA group) were treated with THA,60 cases of them ( HHA group) were treated with HHA,while 43 cases of them ( control group) were treated with internal fixation.Blood loss,operation time,and bed in time,as well as the range of movement (ROM) of hip,Harris score and VAS score were observed.ResultsOperation time and blood loss in THA group and HHA group were more than that in control group(P ＜0.05 ),and the operation time in control group was the least.Bed in time of THA group and HHA group were all less than that of control group significantly( P ＜ 0.05 ).ROM of hip in THA and HHA group were larger than that in control group significantly(P ＜0.05).And the Harris score in THA group was more than that in other two groups (P ＜ 0.05 ).ConclusionCompared with internal fixation,arthroplasty was more effective in the treatment of elderly patients with femoral neck fracture.