全髋与半髋关节置换术治疗老年股骨颈骨折的临床对比

Clinical Comparison of Total Hip and Half Hip Arthroplasty for Femoral Neck Fracture

目的:探析全髋与半髋关节置换术治疗老年股骨颈骨折的临床效果。方法:选取笔者所在医院2011年1月-2015年6月收治的73例老年股骨颈骨折患者,研究组37例给予全髋关节置换术,对照组36例采取半髋关节置换术,比较两组优良率、并发症等。结果:研究组优良率91.89%与对照组的75.00%比较明显优,差异有统计学意义(P<0.05);研究组手术时间、术中出血量、髋关节恢复时间显著高于对照组,差异有统计学意义(P<0.05);研究组并发症发生率5.41%与对照组的19.44%比较,差异有统计学意义(P<0.05)。结论:全髋与半髋关节置换术治疗老年股骨颈骨折,均有疗效,但全髋关节置换术优良率高,并发症少。临床上应根据患者的情况选择合适的手术方式。

Objective： To analyze the clinical results of total hip and half hip arthropiasty for femoral neck fracture.Method： From January 2011 to June 2015, 73 elderly patients with femoral neck fracture who admitted in our hospital were selected, the study group of 37 patients received total hip arthroplasty, the control group of 36 patients took partial hip arthroplasty, the good rate and complications in two groups were compared.Result： Excellent rate was 91.89% in the study group and 75.00% in the control group, there was significant difference in two groups（P〈0.05）, the operative time, blood loss, hip recovery time in the study group were significantly higher than those in the control group（P〈0.05）; the incidence of complications in the treatment group was 5.41%, and the control group was 19.44%, the difference was significant（P〈0.05）.Conclusion： Total hip and half hip arthroplasty for femoral neck fracture are effective, but the total hip arthroplasty more excellent high rate, fewer complications, you shall select the appropriate surgical approach depending on the circumstances of the patient.