髋关节置换术治疗老年股骨颈骨折的临床效果观察

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【摘要】目的：探讨在股骨颈骨折老年患者治疗中应用髋关节置换术的价值。方法：选取2021年2月—2023年2月在医院行髋关节置换术的63例股骨颈骨折老年患者为试验对象，将30例行半髋关节置换术患者设为对照组，另外将33例行全髋关节置换术患者设为观察组，比较两组治疗有效性。结果：治疗后，两组髋关节功能评分无明显差异（P>0.05）；观察组手术时间及术后下地时间均长于对照组，术中出血量多于对照组，住院时间短于对照组（P

【关键词】髋关节置换术；股骨颈骨折；老年；髋关节功能；手术指标；并发症

Clinical efficacy observation of hip replacement in the treatment of elderly femoral neck fracture

LIU Shuo

Department of Orthopedics， Jinchang People’s Hospital， Jinchang， Gansu 737100， China

【Abstract】Objective：To investigate the value of hip replacement in the treatment of senile patients with femoral neck fracture. Methods：63 elderly patients with femoral neck fracture who underwent hip replacement in the hospital from February 2021 to February 2023 were selected as the experimental subjects.30 patients who underwent hemiarthroplasty were set as the control group，and 33 patients who underwent total hip replacement were set as the observation group.The treatment effectiveness of the two groups was compared. Results：After treatment，there was no significant difference in hip joint function scores between the two groups （P>0.05）；The surgical time and postoperative ground time in the observation group were longer than those in the control group，the intraoperative bleeding volume was higher than that in the control group，and the hospital stay was shorter than that in the control group （P

【Key Words】Hip replacement； Femoral neck fracture； Old age； Hip function； Surgical indexes； Complication

股骨颈骨折属于临床上常见骨折类型，老年人为主要患病群体，以髋部肿胀、畸形、疼痛等为主要症状，大多是由于骨质疏松而导致机体骨质量下降，一旦受到外力影响后，导致骨折发生，影响到患者正常生活，故而及时予以有效治疗显得至关重要[1-2]。（剩余4395字）