髋关节置换术与骨折内固定术治疗新鲜移位股骨颈骨折的临床研究

Total hip arthroplasty and fracture fixation treatment of clinical research fresh displaced femoral neck fractures

目的：探讨髋关节置换术与骨折内固定术治疗新鲜移位股骨颈骨折的临床效果。方法：选取我院2009年12月～2014年12月的80例新鲜移位股骨颈骨折患者进行手术治疗分析，随机分为髋关节置换术组和骨折内固定术组各40例，分别采用髋关节置换术与骨折内固定术进行治疗，观察2组患者的治疗效果。结果：骨折内固定术组在手术时间明显比髋关节置换术组短，具有统计学意义（P＜0．05）；骨折内固定术组手术中出血量明显少于髋关节置换术组，具有统计学意义（P＜0．05）；骨折内固定术组下床时间明显比髋关节置换术组长，具有统计学意义（P＜0．05）；骨折内固定术组发生股骨头缺血坏死及骨不连的发生率明显多于髋关节置换术组，具有统计学意义（P＜0．05）。结论：对新鲜移位股骨颈骨折患者采用髋关节置换术与骨折内固定术治疗得到不同的结果，可以根据患者情况进行手术。

Objective：To study the total hip arthroplasty and fracture fixation for treatment of fresh displaced femoral neck fractures . Methods：from December 2009 to December 2014 , 80 cases of fresh shift to analyze surgical treatment in patients with femoral neck frac -ture, were randomly divided into total hip arthroplasty and fracture fixation group, 40cases with total hip arthroplasty and fracture fixation treatment, to observe the therapeutic effect of two groups of patients .Results： fracture fixation group in the operation time significantly was shorter than the hip replacement group , with statistical significance （P 〈0.05）; Intraoperative blood loss and internal fixation of fracture group was obviously less than hip replacement group , with statistical significance （P 〈0.05）;Bed time fracture fixation group was obviously than hip replacement group leader , with statistical significance （P 〈0.05）;Fracture fixation group the incidence of ische-mic necrosis of femoral head and bone nonunion than hip replacement group , with statistical significance （ P〈0 .05 ） .Conlc usion：the shift of the fresh femoral neck fracture were treated by total hip arthroplasty and fracture fixation treatment to get different results , ccould＆amp;nbsp;be operated according to patients condition .