Abstract：Objective: To explore the effects of different surgical timings on hip replacement of femoral neck fractures in the elderly for clinical efficacy and prognosis. Methods: A retrospective analysis of 180 hip replacement patients undergoing femoral neck fractures in our department was performed with hip arthroplasty. All patients were divided into group A and 60 according to different operation time (operation time was 3-5 days after fracture). 60 patients in group B (operation time was 5-7 days after fracture) and 60 patients in group C (operation time was more than 7 days after fracture). The intraoperative blood loss, operation time, length of hospital stay, and postoperative complications were compared among the three groups; the Harris hip scores of the hip joints were observed, preoperatively and postoperatively; the comparison and overall efficacy were compared. Results: Harris function scores at 3, 6 and 9 months after operation in group B were significantly higher than those in group C (P<0.05). Postoperative Harris function score in group A was significantly higher than that in group C at the same time (P<0.05). ) Harris function scores at 6 and 9 months after operation were significantly higher than those at the same time point in group B (P<0.05); postoperative acceptance rate in group A was significantly higher than that in group C (P<0.05); intraoperative bleeding in the three groups There was no statistically significant difference in the volume, operation time, and length of hospital stay between the three groups (P>0.05). The incidence of complications in group A and B was significantly lower than that in group C (P<0.05). Conclusion: The earlier the treatment time of hip replacement for elderly femoral neck fracture is, the better the surgical effect is.
肖卫东, 喻爱喜, 潘振宇, 陶圣祥, 漆白文, 胡祥. 老年股骨颈骨折髋关节置换术时机选择与临床疗效及预后分析[J]. 河北医学, 2019, 25(4): 643-647.
XIAO Weidong, YU Aixi, PAN Zhenyu, et al. Analysis of the Operation time, Clinical Effect and Prognosis of Total Hip Arthroplasty in Elderly Patients with Femoral Neck Fracture. HeBei Med, 2019, 25(4): 643-647.
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2019, Vol. 25 
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