摘要
目的探讨全髋关节置换术与半髋关节置换术对提升股骨颈骨折患者髋关节功能的效果。方法选取2019年1月~2023年4月我院收治的65股骨颈骨折患者,采用随机法将其分为对照组(n=32)和观察组(n=33)。对照组行半髋关节置换术,观察组行全髋关节置换术,对比两组手术效果。结果观察组手术时长、术中出血量高于对照组(P<0.05),术前两组髋关节功能、活动度对比(P>0.05),术后6个月观察组髋关节功能、活动度提升,高于术前,观察组高于对照组(P<0.05);观察组术后并发症感染、关节脱位等并发症的发生率低于对照组(P<0.05)。结论全髋关节置换术相较于半髋关节置换术在创伤性股骨颈骨折的临床治疗中具有一定优势,能提高髋关节活动度和改善髋关节功能,同时并发症的发生率较低。但是,全髋关节置换术手术所需时间较长,术中出血量较大,这些因素需要根据患者的具体情况来合理选择手术方法。
Objective:To study the effect of total hip arthroplasty and hemiarthroplasty on hip function in patients with femoral neck fracture.Methods:A total of 65 patients with femoral neck fracture admitted to our hospital from January 2019 to April 2023 were selected,and were randomly divided into the control group(n=32)and the observation group(n=33).The control group underwent hemiarthroplasty,whereas the observation group underwent total hip arthroplasty.The surgical effect was comprehensively compared between the two groups.Results:The operation time and intraoperative blood loss in the observation group were longer than those in the control group(P<0.05).Before operation,there was no significant difference in hip function and range of motion between the two groups(P>0.05).However,at 6 months postoperatively,hip joint function and range of motion were improved in the observation group compared to their preoperative status,higher than the control group(P<0.05).Additionally,the observation group exhibited a lower incidence of postoperative complications,such as infection and joint dislocation,compared to the control group(P<0.05).Conclusion:Total hip arthroplasty offers certain advantages over hemiarthroplasty in the clinical management of femoral neck fracture,including better hip function and range of motion,along with reduced complication rate.Nevertheless,it is associated with longer operativon time and higher intraoperative blood loss,which need to be reasonably selected based on individual patient characteristics.
作者
彭生凌
钟锋
谭周连
PENG Sheng-ling;ZHONG Feng;TAN Zhou-lian(Shangli County Hospital of Traditional Chinese Medicine,Pingxiang Jiangxi 337009,China)
出处
《透析与人工器官》
2024年第2期25-28,共4页
Chinese Journal of Dialysis and Artificial Organs
作者简介
通讯作者:彭生凌,E-mail:2650458756@qq.com
