摘要
Abstract
Objective:To explore the effect of minimally invasive hip arthroplasty via posterolateral approach for the treatment of elderly paitients with femoral neck fractures.Methods:The clinical data of 65 Elderly Patients with femoral neck fracture in Zhaoyuan traditional Chinese medicine hospital from January 2020 to June 2024 were retrospectively analyzed.According to the different surgical methods,they were divided into control group(n=30)and study group(n=35).The control group received traditional hip arthroplasty,and the study group received posterolateral minimally invasive arthroplasty.The operation related indicators,acetabular prosthesis angle,hip function recovery and complications of the two groups were compared.Results:The intraoperative bleeding volume of the study group was less than that of the control group,and the length of the surgical incision and the time of getting out of bed after surgery were shorter than those of the control group,with statistical significance(P<0.05);The difference in surgical time between the two groups was not statistically significant(P>0.05).The abduction angle and forward tilt angle of the acetabular prosthesis in the research group were better than those in the control group,and the difference was statistically significant(P<0.05).After surgery,the pain,walking ability,range of motion,and overall functional scores in Harris Hip Scale of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).The complication rate of 2.86%in the study group was lower than 23.33%in the control group,the difference was statistically significant(P<0.05).Conclusion:The posterior lateral approach of minimally invasive hip replacement in elderly patients with femoral neck fracture is conducive to the improvement of hip function and the good placement of acetabular prosthesis,with fewer postoperative complications.关键词
微创髋关节置换术/后外侧入路/股骨颈骨折/髋关节功能/传统髋关节置换术Key words
Minimally invasive hip arthroplasty/Posterolateral approach/Femoral neck fracture/Hip joint function/Traditional hip arthroplasty分类
临床医学
