Comparison of the Effects of Hemiarthroplasty or Total Hip Arthroplasty on Hip Joint Range of Motion and Gait Indicators in Patients with Femoral Neck Fractures
Objective Comparison of the effects of hemiarthroplasty or total hip arthroplasty on hip joint range of motion and gait indicators in patients with femoral neck fractures.Methods Selecting 80 patients with femoral neck fractures admitted to Mudan People's Hospital of Heze City from May 2021 to August 2023 as the research subjects,according to the odd and even numbers,they are divided into Group A and Group B,with 40 cases in each group.Group A underwent total hip arthroplasty for treatment,while Group B underwent hemiarthroplasty for treatment.Compare surgical related indicators,hip joint range of motion,and gait indicators between two groups of patients.Results The operation time and first time of getting out of bed activity in Group B were shorter than those in Group A,and the intraoperative bleeding volume was less than that in Group A,the differences between the groups were statistically significant(P﹤0.05);there was no significant difference in hospital stay between the two groups(P﹥0.05).Before surgery,one month after surgery,and two months after surgery,comparison of hip joint range of motion between two groups,there were no statistically significant differences between groups(P﹥0.05);three months after surgery,the range of motion of the hip joint in group B was(119.95±11.55)°,which was greater than(102.46±9.87)° in group A,the difference was statistically significant(P﹤0.05).Six months after surgery,comparison of single leg support time between two groups,the difference was not statistically significant(P﹥0.05);group B has a faster step frequency than Group A and a longer step length than Group A,the differences between the groups were statistically significant(P﹤0.05).Conclusion Compared to total hip arthroplasty,hemiarthroplasty has a shorter surgical time and less intraoperative bleeding for patients with femoral neck fractures,while total hip arthroplasty can improve hip range of motion and gait indicators.
Femoral neck fracturesHemiarthroplastyTotal hip arthroplastyOperative timeIntraoperative bleeding volumeHip joint range of motion
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