Abstract:Objective: To analyze the differences in curative effect and safety of hip replacement through superpath approach and traditional posterolateral approach on femoral neck fracture. Methods: A retrospective analysis was performed on the treatment data of 138 patients with femoral neck fracture who underwent hip replacement in the hospital from December 2017 to December 2019. According to different surgical approaches, patients given superpath approach and traditional posterolateral approach were included in study group (n=78) and control group (n=60), respectively. The surgical related conditions, postoperative curative effect, VAS score, postoperative leaving bed time, hospital stay, standing walking test and incidence of complications were compared between the two groups. Results: The surgical related conditions such as operation time, intraoperative blood loss and incision length in study group were significantly better than those in control group (P<0.05). There were significant differences in postoperative good rate between study group and control group (94.87% vs 73.33%) (P<0.05). At 48h after surgery, the postoperative recovery indexes such as drainage volume, leaving bed time, hospital stay, hospitalization cost and standing walking test in study group were better than those in control group (P<0.05). The incidence of postoperative complication in study group was significantly lower than that in control group (7.69% vs 36.67%). Conclusion: The hip replacement through superpath approach for treatment of femoral neck fracture can promote rapid recovery of patients, with significant curative effect and good safety.
曹良国. Superpath入路与传统后外侧入路髋关节置换术治疗股骨颈骨折的疗效及安全性分析[J]. 河北医学, 2021, 27(5): 814-819.
CAO Liangguo. Curative Effect and Safety of Hip Replacement Through Superpath Approach and Traditional Posterolateral Approach on Femoral Neck Fracture. HeBei Med, 2021, 27(5): 814-819.
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