全髋与半髋关节置换术治疗老年移位股骨颈骨折的临床效果分析

Clinical Effect of Total Hip and Hemihip Arthroplasty in Elderly Patients with Displaced Femoral Neck Fracture

目的:探讨全髋与半髋关节置换术治疗老年移位股骨颈骨折患者的临床效果。方法:选取我院2021年5月—2023年5月收治的72例老年移位股骨颈骨折患者作为研究对象,根据患者意愿将其分为对照组与观察组,各36例。对照组采用半髋关节置换术治疗,观察组采用全髋关节置换术治疗。对比2组临床指标、术后并发症发生情况,以及术后3个月、6个月、1年的髋关节功能、肢体运动功能、生活质量。结果:观察组手术时间、下床活动时间均长于对照组,术中出血量多于对照组,组间差异有统计学意义(P<0.05)。观察组术后并发症发生率5.56%低于对照组的27.78%,差异有统计学意义(P<0.05)。术后3个月、6个月、1年,观察组Harris关节功能评分、肢体运动功能评定量表评分、世界卫生组织生活质量测定量表评分均高于对照组,组间差异有统计学意义(P<0.05)。结论:应用半髋关节置换术治疗老年移位股骨颈骨折术中出血量少、手术时间短,应用全髋关节置换术治疗老年移位股骨颈骨折术后并发症发生风险较低,有助于提升患者术后髋关节功能,可实现对肢体运动功能的有效改善,对生活质量的提升有积极意义,应用价值较高。

Objective:To explore the clinical effect of total hip and half hip replacement in elderly patients with displaced femoral neck fractures.Methods:72 elderly patients with displaced femoral neck fractures admitted to our hospital from May 2021 to May 2023 were selected as the study subjects.They were divided into a control group and an observation group according to their wishes,with 36 cases in each group.The control group received half hip replacement surgery,while the observation group received total hip replacement surgery.Compare clinical indicators,incidence of postoperative complications,as well as hip joint function,limb motor function,and quality of life between the two groups at 3 months,6 months,and 1 year after surgery.Results:The observation group had longer surgery time and bed activity time than the control group,and had more intraoperative blood loss than the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was 5.56%,lower than 27.78% in the control group,and the difference was statistically significant(P<0.05).After 3 months,6 months,and 1 year of surgery,the Harris Hip Score,Limb Motor Function Assessment Scale score,and World Health Organization Quality of Life Scale score in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion:The application of semi hip arthroplasty for the treatment of elderly displaced femoral neck fractures results in less intraoperative bleeding and shorter surgical time,and the application of total hip arthroplasty for the treatment of elderly displaced femoral neck fractures has a lower risk of postoperative complications,which helps to improve postoperative hip joint function,effectively improve limb movement function,and has a positive significance for improving quality of life.Its application value is high.