The comparison of outcomes between internal fixation and total hip arthroplasty for displaced femoral neck fracture
10.3969/j.issn.1006-5725.2017.10.032
- VernacularTitle:内固定与全髋关节置换治疗移位型股骨颈骨折的中期疗效
- Author:
Mingxuan YANG
;
Zhiqiang LUO
;
Haonan LIU
;
Jing WANG
;
Yanqiang CHEN
;
Haijun FENG
- Keywords:
Internal fixation;
Arthroplasty;
Femoral neck fracture;
Clinical outcome
- From:
The Journal of Practical Medicine
2017;33(10):1651-1655
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical outcome of internal fixation(IF)and total hip arthroplasty (THA)for the elderly patients with displaced femoral neck fracture. Methods A total of 128 patients with dis-placed femoral neck fracture admitted from January 2010 to December 2012 were selected and divided into IF group(61 cases)and THA group(67 cases). The operation and hospitalization index were compared between the 2 groups. All patients underwent follow-ups after operation. The functional recovery scale for hip fracture (FRS) and EQ-5D index were applied to evaluate the clinical outcomes periodically. Results Compared to THA group, the intraoperative trauma ,operation time and bed days were less in IF group(P<0.05),however the incidence of complication in IF group was higher than that in THA group. All the patients were followed up more than 3 years and mortality rate between the 2 groups showed no significant difference(P>0.05). Follow-ups at all time points revealed hip function in THE group is better than that in IF group(P<0.05),while no significant difference was found in terms of life quality(P > 0.05). Within 3 years,the costs related to fracture were 41772 yuan for IF group and 61174 yuan for THA group respectively. Conclusion Both internal fixation and total hip arthroplasty can provide satisfactory outcome for elderly patients with displaced femoral neck fracture. Compared with IF ,THA causes bigger trauma and costs more ,but ends up with lower complication incidences ,and improve hip function in a shorter period.
