Comparative study of operations in treating displaced femoral neck fractures in the elderly
- VernacularTitle:老年新鲜移位股骨颈骨折的手术治疗分析
- Author:
Jie LI
;
Chunhui ZHOU
;
Wenhua LIU
- Publication Type:Journal Article
- Keywords:
femoral neck fractures;
elderly;
total hip arthroplasty;
femoral head replacement
- From:
Orthopedic Journal of China
2006;0(14):-
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To explore the value of different surgical methods in the treatment of the displaced femoral neck fracture in the elderly.[Method]A follow up study was done on 95 cases older than 65 years who were treated with internal fixation,femoral head arthroplasty and total hip joint replacement from 2003 to 2008.The differenee upon operation time,blood loss,duration of hospitalization,joint function evaluation one and two years after operation,complications and reoperation rate were compared.[Result]The internal fixation group had the shortest operation time and hospitalization and the least blood loss but the highest immobilization time,highest co-mplication rate and reoperation rate as we1l as the worst joint function.While the total hip joint repl acement group had the least immobilization time,the lowest compliction rate and reoperation rate,best joint function but required better health condition.The femoral head arthroplasty group had the least operation injury but had relative higher reoperation rate and worse joint function compared to the total hip joint replacement group.[Conclusion]Prosthetic replacement is reliable to treat femoral neck fractures in the elderly.
