The Effect Of Joint Capsule Repair On Recessive Blood Loss And Hip Function Recovery During Total Hip Arthroplasty

Objective: To investigate the effect of joint capsule repair on postoperative recessive blood loss and hip function recovery in elderly patients with femoral neck fracture during primary total hip arthroplasty.Methods: A retrospective analysis of 116 patients with primary total hip arthroplasty in our hospital from January 2016 to December 2018 was performed.The mean age was 68(65-77)years,including 49 males.,67 women.According to whether the repaired joint capsule was divided into joint capsule repair group(observation group,n=85)and joint capsule partial resection group(control group,n=31),intraoperative blood loss,postoperative drainage,preoperative operation were recorded.Post-erythrocytosis and other related indicators and hip Harris scores at 1,3,and 6 months after surgery,and the total amount of recessive blood loss after 3 days of operation was calculated by Gross formula.Compare and analyze the differences in data between the two groups.Results: The total amount of recessive blood loss in the observation group was(486.64±169.96)mL on the third day after operation,and the total amount of recessive blood loss in the control group was(621.90 ± 84.60)mL.The difference was statistically significant(P=0.000).Harris score in the first month after operation:(87.78±6.00)in the observation group and(82.74±6.43)in the control group,the difference was statistically significant(P=0.000);the third month after the Harris score: observation group The score was(92.79±4.64),the control group was(90.22±4.67),the difference was statistically significant(P=0.011);the sixth month after operation,Harris score: observation group was(95.17±1.76),control The score was(94.49±1.38),and the difference was not statistically significant(P=0.054).Conclusion: Repairing the joint capsule during the initial total hip arthroplasty in the elderly patients with femoral neck fracture can effectively reduce the postoperative recessive blood loss and promote the early recovery of hip function.