Comparison of Different Approaches for Hip Replacement Surgery in Patients with Femoral Neck Fractures
Objective To compare the application effects of hip replacement surgery with different approaches in patients with femoral neck fractures.Methods From August 2021 to August 2022,a total of 108 patients with femoral neck fracture admitted to the Third Department of Orthopaedics,Anyang Iron and Steel Group Co.,Ltd.Employee General Hospital were included.They were divided into observation group and control group according to the random number table method,with 54 cases in each group.Both groups underwent hip replacement.The control group was treated with traditional incision posterolateral approach,and the observation group was treated with modified small incision approach.The perioperative indexes(incision length,intraoperative blood loss,operation time,postoperative ambulation time)were compared between the two groups.The degree of pain[visual analogue scale(VAS)]was compared between the two groups before and 5 days after operation.The hip joint function(Harris score)was compared between the two groups before and 6 months after operation.The postoperative complications of the two groups were counted.Results The perioperative indexes of the observation group were better than those of the control group(P＜0.05).At 5 days after operation,the VAS scores of the two groups were lower than those before operation,and the observation group was lower(P＜0.05).At 6 months after operation,the Harris scores of hip joint in both groups were higher than those before operation,and the observation group was higher(P＜0.05).Incidence of complications in the observation group was lower(P＜0.05).Conclusion For patients with femoral neck fractures undergoing hip replacement surgery,the modified small incision approach has more advantages than the traditional incision posterolateral approach in reducing surgical trauma,shortening surgical time,alleviating postoperative pain,and reducing the incidence of complications,which can accelerate the recovery process of hip joint function in patients.
femoral neck fracturehip replacementtraditional incision posterolateral approachmodified small incision approachhip joint function
万方数据
维普
