Objective Comparative analysis of the effects of total hip arthroplasty and hemiarthroplasty on perioperative indicators and safety in elderly patients with femoral neck fractures.Methods A total of 84 elderly patients with femoral neck fractures admitted to Weihaiwei People's Hospital from February 2019 to June 2023 were selected as the research subjects,divided into a control group(n=41)and an observation group(n=43)according to random number table method.The control group underwent hemiarthroplasty,while the observation group underwent total hip arthroplasty.Compare perioperative indicators,hip joint function,complications,and quality of life between two groups.Results The observation group had surgery,ambulation,and hospitalization time were longer than those of the control group,the intraoperative bleeding volume was greater than that of the control group,and the incision length was longer than that of the control group,the differences between the groups were statistically significant(P﹤0.05).Six months after surgery,the Harris Hip Scale scores in all dimensions of the observation group were higher than those in the control group,the differences between the groups were statistically significant(P﹤0.05);the World Health Organization Quality of Life-Brief Version scores in all dimensions of the observation group were higher than those of the control group,the differences between the groups were statistically significant(P﹤0.05).One year after surgery,the incidence of complications in the observation group was 2.33%,which was lower than the 19.51%in the control group,the difference was statistically significant(P﹤0.05).Conclusion The perioperative indicators of hemiarthroplasty in elderly patients with femoral neck fractures are superior to total hip arthroplasty,and total hip arthroplasty is more effective in improving long-term hip joint function and quality of life,as well as reducing complications.
关键词
老年股骨颈骨折/全髋关节置换术/半髋关节置换术/围术期指标/髋关节功能/并发症/生活质量
Key words
Elderly with femoral neck fractures/Total hip arthroplasty/Hemiarthroplasty/Perioperative indicators/Hip joint function/Complications/Quality of life
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