中南医学科学杂志2023，Vol.51Issue(6)：923-927,959,6.DOI:10.15972/j.cnki.43-1509/r.2023.06.030
直接前入路、后外侧入路全髋关节置换术对老年股骨颈骨折患者的疗效比较
Comparison of the effects of direct anterior and posterolateral total hip arthroplasty on elderly patients with femoral neck fractures
摘要
Abstract
Aim To compare the effects of direct anterior and posterolateral total hip arthroplasty on elderly pa-tients with femoral neck fractures.Methods The clinical data of 90 elderly patients with femoral neck fracture under-going total hip arthroplasty were retrospectively analyzed.According to the approach method,they were divided into ante-rior approach group(46 cases)and posterolateral approach group(44 cases).Perioperative indexes,early postoperative X-ray prosthesis position information,hip function,balance function,levels of inflammatory factors,bone metabolism inde-xes and complications were compared between the two groups.Results Compared with the anterolateral approach group,the operative time of the anterolateral approach group was increased(P<0.05).Intraoperative blood loss and postoperative hospital stay were decreased(P<0.05).One month after surgery,the levels of osteocalcin,hip joint and balance function scores were increased,and tartrate-resistant acid phosphatase 5b and C-terminal peptide of type I collagen were decreased after operation(P<0.05).The levels of postoperative inflammatory factor in the anterior approach group were lower than those in the posterolateral approach group(P<0.05).There were no significant differences in the postop-erative X-ray prosthesis position information and incidence of complications between the two groups(P>0.05).Con-clusion Both approaches can effectively improve hip joint function in elderly patients with femoral neck fractures,but di-rect anterior approach has less damage and faster short-term recovery compared to the posterior lateral approach.关键词
股骨颈骨折/全髋关节置换术/直接前入路/后外侧入路/髋关节功能/老年Key words
femoral neck fracture/total hip replacement/direct approach/posterolateral approach/hip function/old age分类
医药卫生引用本文复制引用
王勇,陈建文,陈海铭,郑文源..直接前入路、后外侧入路全髋关节置换术对老年股骨颈骨折患者的疗效比较[J].中南医学科学杂志,2023,51(6):923-927,959,6.基金项目
玉林市科学研究与技术开发计划项目(玉市科20220624) （玉市科20220624）
