Follow-up Study On The Effect And Functional Recovery Of Total Hip Arthroplasty For Femoral Neck Fractures With Different Blood Glucose Levels

ObjectiveFemoral neck fractures are a high-risk disease in women and elderly patients and are mainly treated by surgery.At the same time,the bone healing ability of diabetic patients is impaired,and the recovery time after fracture is prolonged and the high blood glucose level affects the bone quality of the patients.Therefore,this article intends to explore the effect of different blood glucose levels on the efficacy and functional recovery of hip replacement surgery for femoral neck fractures.MethodsIncluding 108 patients who were diagnosed with femoral neck fracture and hip replacement in our hospital’s orthopedic inpatient department from June 2017 to March 2019,were divided into normal group(42 cases)and impaired fasting blood glucose according to preoperative fasting blood glucose 3 groups(35 cases)and diabetes group(31 cases).Collect age,gender and preoperative fasting blood glucose levels,FIB and D-dimer of preoperative coagulation-related indicators,and intraoperative conditions such as operation time,intraoperative blood loss,blood transfusion and drainage,and postoperative related complications and other indicators At the same time,follow-up and evaluation of postoperative pain intensity,Harris total score of joint function and results of hip radiograph pelvic orthopedics.ResultsThe operation time,intraoperative blood loss,drainage volume and average blood transfusion,FIB and D-dimer of preoperative coagulation-related indexes,stress ulcers,deep vein thrombosis,VAS score and VRS at 1 week after operation The scores,the Harris total score at 1 and 3 months of follow-up,and the results of hip X-ray pelvic orthotopic radiographs at 1 and 12 months of follow-up were all statistically significant(P <0.05).The above-mentioned indexes of patients in diabetes group were worse than those in normal group and impaired fasting blood glucose group.Compared with the group with impaired fasting blood glucose,the diabetes group had an average increase in operation time of 12 minutes,increased intraoperative blood loss,average blood transfusion volume and drainage volume of 10 ml,29 ml and 3 ml,respectively;FIB and D-dimer concentrations increased by 0.9 g,respectively / L and 149 μg / L;the VAS and VRS scores increased by 0.64 and 0.48 points one week after surgery;the Harris total score decreased by 3.58 points and 2.74 points for 1 and 3 months of follow-up;while stress ulcers(12.9% vs.2.9%)And deep vein thrombosis of lower extremities(9.7% vs.2.9%),acetabular prosthesis X-ray translucent band(16.1% vs.5.7%),the difference was statistically significant(P <0.05).ConclusionCompared with patients with normal blood glucose and impaired fasting blood glucose,the intraoperative efficacy,postoperative pain,the incidence of complications and the long-term prognosis of diabetic patients are poor.Therefore,for patients with diabetes,blood sugar levels should be more actively controlled before surgery.At the same time,it also suggests that hip replacement surgery for diabetic patients with femoral neck fractures needs to pay attention to the control of postoperative blood glucose levels.