Comparison Between Arthroplasty And Percutaneous Cannuiated Screw Fixation In Elderly Patients

Efficacy analysis of contrast Contrast hip replacement femoralneck fracture and percutaneous cannulated screw fixationObjective：Clinical evaluation of elderly patients with hiparthroplasty femoral neck fracture and percutaneous cannulatedscrew fixation of two surgical methods, summarize the surgicaltreatment of elderly patients with femoral neck fracturesurgical techniques, postoperative complications andpostoperative joint function, explore the femur in elderlypatients reasonable treatment of neck fractures.Methods： A retrospective analysis of the Sino-JapaneseFriendship Hospital of Jilin University Orthopaedics fromMarch2010to October2013hospitalized surgical patients withfemoral neck fracture lines, which were fo group llowed to take51(75-90years old, with an average age of about78.87yearsold) patients were object of study, divided into two groupsaccording to surgical procedure that group A total hiparthroplasty B percutaneous cannulated screw fixation group,where A group of32patients,19cases of group B. Statisticaltwo surgical methods in operative time, intraoperative andpostoperative bleeding, postoperative bed time,postoperative joint function recovery, complications, each set of data using SPSS19.0software for statistical analysis..Results：1. A group B group compared with the indexes aftercomparison test after hip replacement and percutaneouscannulated screw fixation and postoperative bleeding, thenormal distribution, using the t test, P>0.05, the differencewas not statistically significance.2. A group and B group operation time, on examinationhip replacement compared percutaneous cannulated screwfixation time is short, normal distribution, using the t test,P <0.05, the difference was statistically significant.3. Compared with group B, group A after bed time, the testhip replacement compared percutaneous cannulated screwfixation significantly shorter time in bed, a normaldstatistically significant.4. A group and B group on postoperative Harris hip scoresheet according to functional recovery were compared, the testaccording to Harris hip score sheet for functional recoveryafter hip replacement compared with percutaneous cannulatedscrew fixation is better, a positive state distribution, usingthe t test, P <0.05, the difference was statisticallysignificant. 5.Comparison of group A and group B after a yearreoperation rate, on examination hip replacement andpercutaneous cannulated screw fixation and one year aftersurgery and then compare the rate of a normal distribution,using t test, P>0.05, the difference was not statisticallysignificant.Conclusion：1Two surgical methods to improve hip function were definitelyrole, but there are different curative effect between them,curative effect of hip replacement is better than cannulatedscrew fixation.2Full (half) hip replacement surgery, shorter operativetime, postoperative weight bearing walking can quickly improvethe quality of life is extremely obvious, but expensive hipreplacement, surgical trauma, postoperative hip dislocationexists, false the possibility of infection and loosening thebody, while studies have shown that all (semi) hip replacementsurgery may cause potential risk of human tumors. 3Percutaneous cannulated screw fixation, surgery time isrelatively long, simple operation, small limb trauma, surgerycorrection angle can be adjusted as needed to avoid pulling inother aspects of the sciatic nerve has obvious advantages, butthe presence of postoperative patients in bed for a long time,nonunion of femoral head necrosis and other dangerous, needfurther long-term clinical effects observed4The choice of femoral neck fracture surgical procedure shouldbe carried out strictly in the preoperative assessment ofchoosing the best solution after surgery...