全髋关节置换术与双极人工股骨头置换术治疗老年股骨颈骨折效果分析

Clinical contrastive analysis of total hip replacement and bipolar artificial femoral head replacement in Elderly of Elderly patients with femoral neck fracture

目的探讨全髋关节置换术与双极人工股骨头置换术治疗老年股骨颈骨折的临床疗效。方法将92例老年股骨颈骨折患者分为观察组和对照组,各46例。观察组采用全髋关节置换术,对照组采用双极人工股骨头置换术。观察两组患者手术情况及术后髋关节恢复情况。结果两组患者手术时间、术中出血量及住院时间比较无显著差异(P>0.05);两组患者术后3个月及1年髋关节功能评分比较无显著差异;观察组术后3年髋关节功能评分高于对照组(P<0.01)。结论全髋关节置换术与双极人工股骨头置换术治疗老年股骨颈骨折具有较好的临床效果,全髋关节置换术远期疗效更佳。

Objective To investigate the clinical efficacy of total hip replacement and bipolar artificial femoral head replacement in elderly of elderly patients with femoral neck fracture. Methods Ninety-two elderly patients with femoral neck fracture were randomly divided into observation group（ n = 46）and treated with total hip replacement and control group （ n =46） and treated with bipolar artificial femoral head replacement. The surgery and post-operative recovery of the hip joints of the patients in the two groups were observed. Results There was no significant difference among the operation time, intraoperative time and hospital stay length of the patients in both groups （ P 〉 0.05 ）. And there was also no significant difference in hip joint rating of the patients in both groups from three months to one year after surgery（ P 〉 0.05 ）. The hip joint rating of the observation group 3 years after surgery was significantly higher than that of the control group（ P 〈 0.01 ）. Conclusion Both total hip replacement and bipolar artificial femoral replacement have good clinical efficacy in the treatment of elderly patients with femoral neck fracture, and total hip replacement has better long-term efficacy.