Effect of Direct Anterolateral Approach Total Hip Replacement on Functional Recovery in Patients with Femoral Neck Fracture
Objective To investigate the effect of direct anterolateral approach total hip replacement on functional recovery of patients with femoral neck fracture.Methods A total of 162 patients with femoral neck fracture admitted to Xintai People's Hospital from January 2020 to October 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 81 cases in each group.The control group was treated with total hip replacement through posterolateral approach,while the observation group was treated with total hip replacement through direct anterolateral approach.Perioperative indicators,hip function,daily living ability,pain degree and complications were compared between the two groups.Results The incision length of observation group was shorter than that of control group,the intraoperative blood loss and postoperative drainage volume were less than that of control group,and the differences between the groups were statistically significant(P<0.05);there was no significant difference in operation time between the two groups(P＞0.05).3 months after operation,the Harris Hip Function Scale score of Joint function,deformity,pain,joint motion score and total score of the observation group were higher than those of the control group,and the Barthel Index rating scale score was higher than that of the control group,and the differences between the groups were statistically significant(P<0.05).At 6 hour and 24 hour after operation,the Visual Analogue Scale of the observation group was lower than that of the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group was 3.70%,which was lower than 13.58%in the control group,and the difference was statistically significant(P<0.05).Conclusion Direct anterolateral approach for total hip replacement is more effective in the treatment of femoral neck fracture,which can reduce the surgical trauma,reduce the pain degree of patients,accelerate the recovery of hip function,and have fewer complications.
Femoral neck fractureTotal hip replacementDirect anterolateral approachPosterolateral approachComplication
万方数据
