Elderly Displaced Femoral Neck Fracture And The Clinical Efficacy Of Different Surgical Procedures And Related Factors

Objective: To explore the value of different surgicalmethods in the treatment of the displaced femoral neck fracture of the elderly.analyse joint function, complications, reversion factors Methods: An follow up study was done on 71 cases older than 60years who were treated with internal fixation, femoral head arthrop lasty and total hip joint replacement between 2000 and 2005 to compare the difference upon operation time, blood loss, duration of hospi-talization , joint function evaluation one and two years after operation , complications and reversionrate. Results: The internal fixation group had the shortest operation time and hospitalization and the least blood loss but the longest immobilization time, highest complication rate and reversion rate as well as the worst joint function.While the total hip joint rep lacement group had the least immobilization time, the lowest complication rate and reversion rate, best joint function but required better health condition. The femoral head arthrop lasty group had the least operation injury but had relative higher reversion rate and worse joint function compared to the total hip joint rep lacement group. Conclusion: Total hip joint replacement is suitable for the displaced femoral neck fractures of the elderly, especially those who are active have relative longer life expectancy and good general condition.