老年人股骨颈骨折半髋与全髋置换远期疗效对比分析

目的：比较老年人股骨颈骨折半髋与全髋置换远期的临床疗效。方法对70例老年人股骨颈骨折需行髋关节置换的患者，采用随机序号的方式将其分为观察组和对照组各35例，其中观察组采用全髋关节置换术，对照组予以半髋关节置换术，比较两组患者术后远期疗效。结果观察组术后感染总发生率高于对照组，观察组术后翻修率低于对照组，但两组差异无统计学意义（P＞0．05）；对照组术后慢性疼痛总发生率为22．86％明显高于观察组的2．28％，两组差异有统计学意义（χ2＝5．130，P＜0．05）；观察组术后Harris评分为（93．25±4．51）分显著高于对照组的（82．76±3．82）分，两组差异有统计学意义（t＝6．973，P＜0．05），观察组的优良率为91．43％明显高于对照组的71．43％，两组差异有统计学意义（χ2＝6．492， P ＜0．05）。结论全髋关节置换术可减少股骨颈骨折术后疼痛感发生率，明显改善患者髋关节功能，中远期疗效优于半髋关节置换术。

Comparison of the long term efficacy of total hip arthroplasty and half hip arthroplasty in the treatment of elderly patients with femoral neck fracture

Objective To compare the long term efficacy of total hip arthroplasty and half hip arthroplasty in the treatment of elderly patients with femoral neck fracture .Methods 70 elderly patients with femoral neck fracture who needed hip replacement were randomly divided into the observation group and control group ,35 cases in each group.The observation group was given total hip arthroplasty ,while the control group was given half hip arthroplasty . The postoperative long term effect was compared between the two groups .Results The overall incidence rate of post-operative infection of the observation group was higher than the control group ,the postoperative revision rate of the ob-servation group was lower than the control group ,but the differences between the two groups were not statistically sig-nificant（P〉0.05）.The overall incidence rate of postoperative chronic pain in the control group was 22.86%,which was higher than 2.28%of the observation group,the difference was statistically significant （χ2 =5.130,P〈0.05）. The postoperative Harris score of the observation group was （93.25 ±4.51）points,which was significantly higher than （82.76 ±3.82）points of the control group,the difference was statistically significant （t=6.973,P〈0.05）.The ex-cellent and good rate of the observation group was 91.43%,which was significantly higher than 71.43%of the control group,the difference was statistically significant （χ2 =6.492,P〈0.05）.Conclusion Total hip arthroplasty in the treatment of femoral neck fracture can reduce the incidence of postoperative pain ,improve hip function of the patients , and its long-term effect is better than single hip replacement surgery ,which should be widely applied in clinical .