|
|
|
| Effects of Total Knee Replacement and Artificial Femoral Head Replacement on Femoral Neck Fracture and Deep Venous Thrombosis in Lower Limbs |
| YU Ming, WANG Jin, WU Zhilin |
| Dazhou Central Hospital, Sichuan Dazhou 635000, China |
|
|
|
|
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.
|
|
|
|
|
|
[1] 郑勇,史法见,赵晓龙,等.全髋关节置换术与双极人工股骨头置换术治疗老年股骨颈骨折的疗效比较[J].组织工程与重建外科杂志,2020,16(4):311~314.
[2] 郭人文,柴伟,李想,等.机器人辅助在股骨头坏死全髋关节置换术中的应用[J].中华骨科杂志,2020,40(13):819~827.
[3] 王学斌,庞清江,余霄.人工股骨头置换术中置入不同直径假体球头的有限元分析[J].中国骨伤,2020,33(6):558~563.
[4] 周玉虎,王建吉,李庆军,等.混合现实技术在人工股骨头置换中的应用初探[J].贵州医科大学学报,2020,45(6):694~699.
[5] Donald A.Weiss.骨折[M].第3版.山东科学技术出版社,2015.8.
[6] 程蒋琪,邵禹棋,陈哲峰,等.三种入路行初次人工全髋关节置换术的早期疗效比较[J].南京医科大学学报(自然科学版),2020,40(5):702~707.
[7] 黄伟涛,马红伟.人工股骨头置换术、全髋关节置换术应用于老年股骨颈骨折患者的疗效及预后情况分析[J].首都食品与医药,2019,26(24):53.
[8] 张云峰,时晓雨,张璐.人工股骨头置换术与DHS内固定治疗高龄股骨粗隆间骨折疗效对比观察[J].实用中西医结合临床,2019,19(8):118~119.
[9] 刘阳,彭昊,黄冠予,等.人工股骨头置换术治疗老年患者不稳定型股骨粗隆间骨折[J].生物骨科材料与临床研究,2019,16(4):63~67.
[10] 段国庆,宋世强,张元民.氨甲环酸局部应用并不放置引流对高龄人工股骨头置换术失血量的影响[J].中华老年骨科与康复电子杂志,2019,5(4):201~205. |
|
|
|
2021, Vol. 27 
