Exploring the efficacy of small incision posterolateral and traditional posterolateral lateral approaches for artificial femoral replacement based on postoperative VAS scores and complication rates
Objective:To explore the application value of different surgical approaches for artificial femoral head replacement(AFHR)in hip fractures.Methods:The clinical data of 93 patients with hip fracture in Wenxian People's Hospital from April 2021 to April 2023 were selected and divided into two groups according to the different surgical approaches,45 cases of small incision group performed AFHR with small incision posterior lateral approach,and 48 cases of traditional group performed AFHR with traditional posterior lateral approach.Surgery related indexes were observed in the two groups,and the degree of pain was assessed by visual analog scale and serological indexes were detected by enzyme immunoassay in the preoperative period and in the postoperative period of 3 and 5 days.In the postoperative period of 6 months,the Harris Hip Function Scale was used to assess the degree of pain,and the enzyme immunoassay detected the serological indexes.Harris Hip Function Scale was used for surgical excellence rate and complications were recorded at the same time.Results:The incision length,operation time,and postoperative ambulation time in the small incision group were shorter than those in the traditional group,and the intraoperative blood loss,postoperative 24-hour drainage volume,and postoperative pain scores at various time points were lower than those in the traditional group(P<0.05).The levels of serum 5-hydroxytryptamine(5-HT),Substance P(SP),and Neuropetide Y(NPY)in the small incision group were lower than those in the traditional group at 3 and 5 days after surgery(P<0.05).There was no significant difference in the excellent rate of surgery and the total incidence of complications between the two groups at 6 months after surgery(P>0.05).Conclusion:Both small incision posterior lateral approach and traditional posterior lateral approach AFHR have good long-term efficacy and safety in the treatment of hip fractures,while the former can optimize the surgical process,reduce intraoperative bleeding and pain,and promote postoperative recovery.
Hip fractureArtificial femoral head replacementPosterolateral approachSmall incisionDegree of painComplication
NETL
NSTL
万方数据
