Effect of Total Hip Replacement with Different Approaches on Patients with Femoral Neck Fracture
Objective To compare the effects of direct anterior or posterolateral total hip replacement on stress response indexes and hip function in patients with femoral neck fracture.Methods A total of 78 patients with femoral neck fracture treated in Linqu County People's Hospital from February 2020 to February 2023 were selected as the research subjects,and were divided into group A and group B according to odd and even numbers,with 39 cases in each group.Group A underwent posterior lateral approach total hip replacement,while Group B underwent direct anterior approach total hip replacement.The surgical indicators,stress response indicators and hip joint function of the two groups were compared.Results The operation and postoperative ambulation time of group B were shorter than those of group A,and the drainage volume and intraoperative blood loss were lower than those of group A,and the differences between groups were statistical significance(P<0.05);24 h after operation,cortisol,corticotropin and norepinephrine in group B were(748.65±58.82)nmol/L,(20.55±2.54)pmol/L,(87.14±6.59)μg/L,respectively,which were lower than(824.28±66.27)nmol/L,(24.06±2.72)pmol/L,(101.52±10.83)μg/L in group A,and the differences between groups were statistically significant(P<0.05);three months after surgery,the Harris Hip Scale scores in all dimensions and total score of group B were higher than those in group A,and the differences between the groups were statistically significant(P<0.05).Conclusion Compared with the posterior lateral approach,direct anterior approach total hip replacement can further improve the surgical indicators of patients with femoral neck fractures,reduce the body's stress response,and promote hip joint function recovery.
Femoral neck fractureTotal hip replacementStress responseHip joint function
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