股骨颈骨折治疗中全髋关节置换术与半髋关节置换术的应用效果

Application effects of total hip arthroplasty and hemiarthroplasty in the treatment of femoral neck fractures

目的研究股骨颈骨折治疗中全髋关节置换术与半髋关节置换术的应用效果。方法将我院收治的64例股骨颈骨折患者按照治疗方法分为对照组和研究组,各32例。对照组选用全髋关节置换术治疗,研究组选用半髋关节置换术治疗。比较两组的临床效果。结果与对照组比较,研究组手术时间、住院时间更短,术中出血量及术后引流量更少,各个时间段Harris评分及髋关节功能恢复优良率更低,并发症总发生率更高,差异具有统计学意义(P<0.05)。结论股骨颈骨折治疗中全髋关节置换术与半髋关节置换术的应用各有优势,应根据患者实际病情、全身情况及年龄等因素选用相应手术方式。

Objective To investigate the application effects of tota l hip arthroplasty and hemiarthroplasty in thetreatment of femoral neck fractures. Methods Sixty-four patients with femoral neck fractures admitted in our hospital weredivided into control group and study group according to the treatment methods, with 32 cases in each group. The controlgroup was given total hip arthroplasty, and the study group was treated with hemiarthroplasty. The clinical effects of the twogroups were compared between the two groups. Results Compared with the control group, there were shorter operation timeand hospital stays, less intraoperative blood loss and postoperative drainage, lower Harris scores at each time point, lowerexcellent rate of hip function recovery, and higher total incidence of complications in the study group, the differences werestatistically significant （P〈0.05）. Conclusion Total hip arthroplasty and hemiarthroplasty in the treatment of femoral neckfractures has its own advantages. The corresponding surgical methods should be selected according to the patients＇ actualcondition, general condition and age.