摘要
Abstract
Objective To compare the efficacy of two operative methods on elder patients with femoral neck fractures. Methods 96 elder patients defined as femoral neck fracture were enrolled and randomly assigned into artificial entire hip replace and artificial thighbone head replacement. The operative time, blood loss during operation, early post-operative complications, and Harris hip score were compared between these two methods. Results ①Compared to the artificial entire hip replacement, the operative time in artificial thighbone head replacement was significantly shorter (P<0. 05), and there was no statistical difference insignificant in blood loss during operation although the amount in artificial entire hip replacement was higher than that in artificial thighbone head replacement P >0.05 ); ② the incidence of early post-operative complications was low in both groups and there was no significant difference ; ③the Harris hip score was significantly higher in artificial entire hip replacement than that in artificial thighbone head replacement (89. 6% vs. 75% ,P =0.04). Conclusion Although the operative time is longer, the Harris hip score in artificial entire hip replacement is significantly higher than that in artificial thighbone head replacement, which deserved to be clinically applied.
关键词
关节成形术,置换,髋/股骨颈骨折/老年人/随机对照试验Key words
arthroplasty, replacement, hip/ femoral neck fractures/ aged/ randomized controlled trials分类
医药卫生