|
|
Analysis of the Operation time, Clinical Effect and Prognosis of Total Hip Arthroplasty in Elderly Patients with Femoral Neck Fracture |
XIAO Weidong, YU Aixi, PAN Zhenyu, et al |
Zhongnan Hospital of Wuhan University, Hubei WuHan 430071, China |
|
|
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.
|
|
|
|
|
[1] Wang W. Open reduction and closed reduction internal fixation in treatment of femoral neck fractures:a meta-analysis[J].BMC Musculoskelet Disord,2014,15(1):167. [2] 李伟.全髋关节置换术和半髋关节置换术治疗老年股骨颈骨折的效果比较[J].中外医学研究,2018,16(1):50~51. [3] 刘红卫.人工全髋关节置换术与半髋置换术在老年股骨颈骨折治疗中的疗效研究[J].临床医学研究与实践,2018,3(2):104~105,142. [4] Liu W,Konermann A,Guo T,et al.Canonical Wnt signaling differently modulates osteogenic differentiation of mesenchymal stem cells derived from bone marrow and from periodontal ligament under inflammatory conditions[J].Biochim Biophys Acta,2014,1840(3):1125~1134. [5] 潘杨,陈泉,谭云,等.全髋与半髋关节置换术治疗老年股骨颈骨折对患者髋关节功能恢复的影响[J].当代医学,2018,24(9):22~24. [6] Gifre L,Vidal J,Carrasco JL,Filella X,et al.Effect of recent spinal cord injury on wnt signaling antagonists (sclerostin and dkk-1) and their relationship with bone loss. A 12-month prospective study[J].Bone Miner Res,2015,30(6):1014~1021. [7] 思玉楼,刘娥,杨涛.老年股骨颈骨折双侧同):非骨水泥型与骨水泥型人工全髋关节置换术临床疗效比较[J].医学临床研究,2018,35(1):52~55. [8] Pauyo T.Management of femoral neck fractures in the young patient:a critical analysis review[J].World Journal of Orthopedics,2014,5(3):204. [9] Thomas A F,Mason and S,Deshpande.An unusual presentation of femoral neck fracture in a young patient[J].Journal of Surgical Case Reports,2014,6(12):123~125. |
|
|
|