Different timing of surgery for joint replacement surgery on femoral neck fracture patients about harris indexes
10.3760/cma.j.issn.1008-6706.2012.24.027
- VernacularTitle:不同手术时机行关节置换术对老年股骨颈骨折患者术后髋关节功能的影响
- Author:
Hu YIN
- Publication Type:Journal Article
- Keywords:
Femoral neck fractures;
Arthroplasty,replacement,Hip;
Operation time
- From:
Chinese Journal of Primary Medicine and Pharmacy
2012;(24):3731-3733
- CountryChina
- Language:Chinese
-
Abstract:
Objective According to the assessment of the curative effect on different operation time of total hiparthroplasty for femoral neck fractures,to explore the effect of the different timing of surgery,itraoperative and postoperative blood loss,early postoperative complications and hip function recovery,and provide theoretical basis for selection of operation time of total hip arthroplasty for femoral neck fractures,to better guide clinical practice.Methods Retrospective analysis 90 femoral neck fracture patients with complete follow-up data for total hip arthroplasty,90 patients were divided into two groups,observation group was given the emergency surgery,the control group was given the delayed operation group.The differences of two groups about operation time,intraoperative blood loss,postoperative drainage,early postoperative complications and postoperative functional restoration of hip joint were compared.Results After 3 months follow-up,the comparison of operation time,intraoperative blood loss and postoperative drainage for the emergency operation group and the delayed operation group,the difference was statistically significant(t=2.37,15.38,22.73,all P＜0.05).The emergency operation group and the delayed operation group in the postoperative complications,P＞0.05,the difference was not statistically significant.After 1 month,the difference of the two groups of hip joint function by Harris score was statistically significant(t=2.76,P＜0.05);and after 3 months,the difference was not statistically significant(P＞0.05).Conclusion Emergency surgery can effectively shorten the operation time,reduce blood loss and postoperative drainage and conducive to the recovery of hip function in patients,reduce the pain caused by the disease,but the ultimate the hip function is not affected.
