Abstract: ［Abstract］ Objective To analyze the clinical effect of the treatment of senile femoral neck fracture after total hip arthroplasty and semiarthroplasty. Methods A retrospective analysis of the clinical data of 71 cases of elderly patients with femoral neck fracture was conducted. Of 71 cases, 35 were performed total hip arthroplasty therapy （A group）, and 36 underwent hemiarthroplasty therapy （B group）. The clinical efficacy of the two group was assessed and compared. Results The operation time, hospitalization time in A group were longer than that in B group. Intraoperative blood loss, postoperative drainage volume in A group were greater than that in B group. The complications in A group was less than in B group. The postoperative Harris hip score in A group was higher than in B group. The curative rate of A group was higher than of B group. Conclusion The total hip arthroplasty and semiarthroplasty for femoral neck fracture have their own advantage and disadvantage. The results of the study are in accordance with the literature.

Key words: complication, femoral neck fracture in the elderly, total hip arthroplasty, clinical effect, semiarthroplasty

摘要： ［摘要］目的 比较全髋关节置换术与人工股骨头置换术治疗老年股骨颈骨折的临床效果。方法 选取江门市中心医院2012年1月~2016年1月收治的老年股骨颈骨折的患者71例，根据治疗方法不同分为全髋置换组35例和半髋置换组36例。全髋置换组患者采用全髋关节置换术治疗，半髋置换组患者采用人工股骨头置换术治疗。比较两组患者的手术时间、术中出血量、术后引流量、住院时间、术后下床活动时间及临床疗效，并观察两组患者并发症发生情况。结果 全髋置换组患者手术时间、术中出血量、术后引流量、住院时间多于半髋置换组，术后下地活动时间也短于半髋置换组；全髋置换组患者治疗效果优良率为91.43%，半髋置换组优良率为77.78%，两组间差异有统计学意义；两组患者早期并发症总发生率无统计学意义，但全髋置换组远期并发症低于半髋置换组。结论 人工股骨头置换术与全髋关节置换术对治疗老年股骨颈骨折各有优缺点，作者结果符合文献报道。

关键词: 全髋关节置换术, 半髋关节置换术, 老年股骨颈骨折, 疗效, 并发症