Different Surgical Treatment Of Femoral Neck Fractures In Elderly

Objective: This paper compares the efficacy of the treatment of FNF by closed reduction, internal fixation with open reduction, and total hip arthroplasty.Methods:Retrospective study of 213 cases, the group was divided into non shift group (A) and shift group (B). According to the operation, the A group was divided into the closed reduction and internal fixation (A1), open reduction and internal fixation (A2) and total hip replacement (A3); The B group was divided into B1, B2 and B3. Follow up 2 years to 3 years for all cases, and evaluate and analyze all the indexes before and after operation.Results:Al, A2 operative time, blood loss was significantly better than A3, part of the load after time, after loading worse time than A3; A2 postoperative Harris hip score was significantly better than the A1, A3; the same in gtoup B. B2 ANFH incidence was significantly better than B1.Conclusion:Elderly non shift FNF,6 to 24 hours after trauma expert" open reduction and internal fixation". Shift FNF, "treatment of artificial joint replacement". FNF should be based on the patient’s specific circumstances, surgical indications, patient demands, surgical experience selected.