Clinical Efficacy of Minimally Invasive Total Hip Arthroplasty Through Direct Anterior Approach in the Treatment of Femoral Neck Fracture with Osteoporosis
Objective To investigate the effect of minimally invasive direct anterior approach total hip arthroplasty in the treatment of femoral neck fracture with osteoporosis.Methods A total of sixty patients with femoral neck fracture combined with osteoporosis admitted to the Affiliated Hospital of Xuzhou Medical University from January 2019 to De-cember 2023 were non-randomly selected as the study subjects.All patients underwent total hip replacement.Accord-ing to the difference of approaches,the patients with direct anterior approach were included in the minimally invasive group,and the patients with posterolateral approach were included in the conventional group,with thirty cases in each group.The differences in operation-related conditions,first activity,hip joint function and total incidence of complica-tions were compared between the two groups.Results Compared with the conventional group,the minimally invasive group had less blood loss,smaller incision,shorter first walk time and longer walking distance,and the differences were statistically significant(all P<0.05).There was no statistically significant difference in hip joint score between the two groups before operation(P>0.05).The hip joint score of the minimally invasive group was 81.47±6.12,higher than 75.65±5.89 of the conventional group,and the difference was statistically significant(t=3.753,P<0.05).The inci-dence of postoperative complications in minimally invasive group was higher than that in conventional group,and the difference was statistically significant(P<0.05).Conclusion Direct anterior approach minimally invasive total hip ar-throplasty is less invasive,and can achieve better mobility and hip function after surgery.However,the incidence of postoperative complications are high,so the degree of osteoporosis should be evaluated before surgery and minimally invasive surgery should be carefully selected.
Small incision direct anterior approachTotal hip replacementFemoral neck fractureOsteoporosis
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