关键词: 老龄股骨颈骨折, 全髋关节置换术, 空心螺钉内固定, 疗效

Abstract: 【Abstract】〓Objective〓To investigate the clinical outcome of femoral neck fracture treated with cannulated screw fixation and total hip replacement. Methods〓109 patients with fresh femoral neck fractures were divided into group A (total hip replacement, n=59), and group B (cannulated screws fixation, n=50). The operation time, blood loss, intraoperative fluoroscopy frequency, duration of hospitalization, bedridden time, complications and Harris hip joint functional score were recorded and compared between two groups. Results〓All patients got followed-up for 17-36 months. The patients in group B had smaller incision, less trauma, shorter operation time, less intraoperative blood loss than those in group A(P<0.05). The patients in group A had lower intraoperative fluoroscopy frequency, shorter duration of hospitalization, shorter bedridden time, lower post-operation complications (P<0.05). Cases of group A had higher Harris hip joint functional score than that in group B (P<0.05). Conclusion〓Total hip replacement has less complications and good prognosis, but has more trauma. The surgical approach is chosen on the basis of practical situation.

Key words: Femoral neck fracture, Total hip replacement, Internal fixation with cannulated screws, Outcome