Analysis of Short-term Efficacy and Influencing Factors of First Total Hip Arthroplasty for Elderly Patients with Femoral Neck Fractures
Objective:To investigate the short-term effect and influencing factors of first total hip arthroplasty in elderly patients with femoral neck fracture.Method:A total of 80 patients with first total hip arthroplasty admitted to the Department of Orthopedics of Hai'an Traditional Chinese Medicine Hospital from September 2020 to March 2022 were selected as the study objects.The curative effect 6 months after surgery was observed,and the related factors affecting the short-term curative effect were analyzed.Result:After the first total hip replacement,a total of 64 elderly patients had a Harris score of≥75 points,and the good and good rate was 80.00%(64/80).At 1 month,3 months and 6 months after surgery,the Harris hip score of patients increased with the extension of time,and pairwise comparison between different time points in each dimension,the differences were statistically significant(P<0.05).The proportion of patients with excellent therapeutic effect and diabetes mellitus,ASA grade Ⅰ and Ⅱ,9-12 h from surgery to start of functional exercise,minimally invasive approach,the difference of lower limb length immediately after surgery was 1-10 mm,no complications,intraoperative blood loss<300 mL were higher than those of poor therapeutic effect group,the differences were statistically significant(P<0.05).logistic regression analysis showed that postoperative complications,short time from surgery to start of functional exercise,intraoperative blood loss≥300 mL and immediate postoperative lower limb length difference were independent risk factors for short-term efficacy after total hip arthroplasty in the elderly(P<0.05),minimally invasive approach was an independent protective factor for the short-term outcome of total hip replacement in elderly patients(P<0.05).Conclusion:The short-term efficacy of elderly patients with total hip replacement is affected by a variety of factors.Timely functional exercise after surgery can reduce intraoperative blood loss and complications,and avoid excessive difference in the length of both lower limbs.For patients with conditions,minimally invasive approach is preferred.
Total hip arthroplastyElderly patientsShort-term efficacyInfluencing factors
万方数据
维普
