Abstract：Objective: To investigate the use of artificial femoral head replacement and total hip replacement in patients with femoral neck fractures,and to compare the intraoperative conditions,postoperative curative effects,and postoperative complications. Methods: A total of 92 patients with femoral neck fractures admitted to our hospital from October 2017 to October 2018 were selected and randomly divided into observation group and control group,with 46 cases in each. The control group underwent artificial femoral head replacement treatment. Patients in the observation group were treated with total hip arthroplasty. The clinical effects of the two groups were observed. The relevant indexes (intraoperative blood loss,operation time and drainage volume) of the two groups were compared. The blood D-dimer,FIB,HCT and whole blood viscosity levels,postoperative complications (deep vein thrombosis of the lower extremities,prosthesis loosening,infection,etc.) were compared. Results: The total effective rate of the observation group was 95.65%,and that of the control group was 73.91%. The effective rate of the observation group was higher (Z=2.936,P<0.05). The operation time,intraoperative blood loss and drainage volume of patients in the observation group increased compared with those in the control group (P<0.05). 2 weeks after treatment,the blood D-dimer,FIB,HCT,and whole blood viscosity levels of the two groups were significantly reduced (P<0.05). And the blood D-dimer,FIB,HCT and whole blood viscosity levels of the observation group were lower than those of the control group (P<0.05). The incidence of complications in the observation group was significantly lower than that in the control group (P<0.05). Conclusion: Total hip arthroplasty for patients with femoral neck fractures has a better clinical effect than artificial femoral head replacement,with fewer postoperative complications,but more bleeding and operation time. It is worthy of further clinical promotion.
庾明, 王进, 吴治林. 人工股骨头置换术与全髋关节置换术对股骨颈骨折患者术中情况及术后疗效对比研究[J]. 河北医学, 2021, 27(3): 443-447.
YU Ming, WANG Jin, WU Zhilin. Effects of Total Knee Replacement and Artificial Femoral Head Replacement on Femoral Neck Fracture and Deep Venous Thrombosis in Lower Limbs. HeBei Med, 2021, 27(3): 443-447.
2021, Vol. 27 
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