The Choice Of Operation Methods Of Old People Over75Years With Femoral Neck Fractures

Aim To retrospectively analyze data of patients aged over75years after hip replacement, to compare the advantages and disadvantages, and to find a precise indication.Methods Case data of171patients undergoing total hip replacement (observation group)(n=51) or hemiarthroplasty (control group)(n=120) were included. Their differences were compared using basic diseases, operation time, bleeding amount, postoperative number of drainage, postoperative number of blood transfusion, postoperative complications, postoperative hospitalization day, Harris score and excellent and good rate at1week and3months after operation.Result Patients in both groups were followed up for3to39months (averagely23months). No significant difference in average age, gender, basic diseases, postoperative number of blood transfusion, postoperative hospitalization day, postoperative complications, and Harris score and excellent and good rate at1week was detected between the two groups (P>0.05). Operation time, bleeding amount, postoperative number of drainage were better in the hemiarthroplasty group than that in the total hip replacement group (P<0.05), But harris score at3months and excellent and good rate were better in the total hip replacement group than that in the hemiarthroplasty group (P<0.05).Conclusion strict choice of indication achieved good short-period efficiency in two groups. Thus, hip function of elder patients was early recovered. Quality of life was obviously elevated. The recovery of hip function was relatively better at3months in observation group. The incidence of postoperative complications did not increase obviously. These results suggested that besides sufficient preparation, total hip replacement should be the first choice for elder patients.