Clinical observation of total hip arthroplasty through posterolateral minimally invasive approach in elderly patients with femo-ral neck fractures
Objective To explore the effects of total hip arthroplasty through posterolateral minimally invasive approach on pain stress,hip function and gait in elderly patients with femoral neck fracture.Methods 78 elderly patients with femoral neck fracture treated in Chenzhou Hospital 198 from January 2020 to January 2024 were retrospectively analyzed.According to different surgical approaches,they were divided into control group(n=38)and observation group(n=40).Both groups un-derwent total hip arthroplasty through posterolateral approach.The control group adopted conventional posterolateral approach,and the observation group did posterolateral minimally invasive approach.The clinical indexes,pain degree,hip function and walking ability were compared between the two groups.Results The intraoperative blood loss in the observation group was less than that in the control group,and the incision length and length of hospital stay were shorter than those in the observation group(P＜0.05).At 1 month and 3 months after treatment,the scores of VAS in the observation group were lower than those in the control group,the scores of Harris and FRS in the observation group were higher than those in the control group(P＜0.05).At 1 month and 3 months after treatment,Berg scores and posture stability in the observation group were higher than those in the control group(P＜0.05).Conclusion The posterior lateral minimally invasive approach for total hip arthroplasty has good efficacy in the treatment of elderly patients with femoral neck fracture.It can reduce the pain level of patients,and improve hip function recovery and walking stability.
elderlyfemoral neck fracturetotal hip arthroplastyposterolateral minimally invasive approachpainhip functionwalking ability
万方数据
维普
