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| 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 |
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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.
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2019, Vol. 25 
