Abstract:Objective: To explore the clinical efficacy of artificial femoral head replacement and total hip replacement in the treatment of aged patients (aged≥75 years) with femoral neck fracture. Methods: The clinical data of 140 aged patients (aged≥75 years) with femoral neck fracture who underwent artificial hip replacement during January 2014 to January 2018 were retrospectively analyzed, among which 70 patients who underwent artificial femoral head replacement were divided into group A, and 70 patients who underwent artificial total hip replacement were divided into group B. The pain scores of visual analogue scale (VAS), operation time, intraoperative blood loss, the first time for off-bed activity after operation, postoperative hospital stay, postoperative complications, and Harris scores of hip joint activities in 1 week, 3 months, 6 months, 12 months and 18 months after operation in patients of these 2 groups were compared and analyzed. Results: The VAS scores of the two groups 3 days after operation were significantly lower than those before operation. The operating time, intraoperative blood loss, postoperative hospital stay, the time for off-bed activity after operation in patients of group B were significantly higher than those of patients in group A. And Harris scores of hip joint activities in 1 week, VAS after operation in patients of group A were significantly better than those of patients in group B. There was no significant difference in Harris scores of hip joint activities in 3 and 6 months in patients of these two groups. After follow-up for 12 and 18 months, Harris scores in patients of group B were significantly better than those of patients in group A. Conclusion: For the aged patients (aged≥75 years) with femoral neck fracture, the two kinds of operation can quickly relieve the pain of hip joint, recover the function of hip joint earlier, and improve the quality of life of patients significantly. Artificial femoral head replace-ment with shorter operation time and less bleeding is suitable for aged patients with poor physical conditions, less activities before injury and low requirement on hip joint function. Total hip replacement should be the first choice for aged patients with better physical conditions after sufficient preparation.
