Effect of Total Hip Arthroplasty and Hemiarthroplasty on Hip Function in Patients with Femoral Neck Fracture
Objective:To study the effect of total hip arthroplasty and hemiarthroplasty on hip function in pa-tients with femoral neck fracture.Methods:A total of 65 patients with femoral neck fracture admitted to our hospital from January 2019 to April 2023 were selected,and were randomly divided into the control group(n=32)and the obser-vation group(n=33).The control group underwent hemiarthroplasty,whereas the observation group underwent total hip arthroplasty.The surgical effect was comprehensively compared between the two groups.Results:The operation time and intraoperative blood loss in the observation group were longer than those in the control group(P<0.05).Before opera-tion,there was no significant difference in hip function and range of motion between the two groups(P>0.05).However,at 6 months postoperatively,hip joint function and range of motion were improved in the observation group compared to their preoperative status,higher than the control group(P<0.05).Additionally,the observation group exhibited a lower incidence of postoperative complications,such as infection and joint dislocation,compared to the control group(P<0.05).Conclusion:Total hip arthroplasty offers certain advantages over hemiarthroplasty in the clinical management of femoral neck fracture,including better hip function and range of motion,along with reduced complication rate.Nevertheless,it is associated with longer operativon time and higher intraoperative blood loss,which need to be reasonably selected based on individual patient characteristics.
total hip arthroplastyfemoral neck fracturehemiarthroplastyhip joint functionrange of motioncomplications