Comparison of the effect of DHS and FHR for femoral neck fractures in elderly patients
10.3760/cma.j.issn.1008-6706.2014.11.039
- VernacularTitle:人工股骨头置换术与动力髋螺钉内固定术治疗老年人股骨粗隆间骨折疗效比较
- Author:
Yunfeng FENG
- Publication Type:Journal Article
- Keywords:
Femoral fractures;
Femoral head replacement;
Dynamic hip screws
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;21(11):1690-1691
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical effect of femoral head replacement(FHR) and dynamic hip screwsbipolar(DHS) for femoral neck fractures in elderly patients.Methods 157 cases were randomly divided into the two groups.FHR group was treated by bipolar prosthetic replacement and DHS group was treated by dynamic hip screw fixation.The Harris effect,blood loss,operation time,shimoji time,reoperation rate and complications were com pared between the two groups.Results The excellent rate was 83.33 ％ in FHR group,that was 73.42％ in the DHS group,there was significant difference between two groups(Ridit Z =10.654,P =0.000).The operation time and Harris score in the FHR group were higher than those in DHS group,the blood loss and shimoji time in FHR group were lower than those in DHS group,the differences were statistically significant (t =16.254,P =0.000 ; t =25.511,P =0.000 ; t =20.631,P =0.000 ; t =26.584,P =0.000).The incidence rates of complication and reoperation in FHR group were 3.85％,0.00％,which were significantly lower than those in DHS group(18.99％,5.13％) (P =0.006).Conclusion FHR has significant efficacy and higher security for femoral neck fractures in elderly patients compared with DHS,it is worthy of application in clinical.
