Effects of Total Hip Replacement and Femoral Head Replacement in the Treatment of Femoral Neck Fractures in Elderly Patients and Their Impacts on Hip Joint Function

Jie Yang

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¹ Changshu Meili People’s Hospital, Changshu 215500, Jiangsu Province, China,

BAS 2023 , 1(3), 60–66; https://doi.org/10.26689/bas.v1i3.5967

© 2023 by the Authors. Licensee Whioce Publishing, Singapore. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )

Abstract

Objective: To explore the therapeutic value of total hip replacement and femoral head replacement in elderly patients with femoral neck fractures. Methods: 30 elderly patients with femoral neck fractures were sampled from January 2019 to August 2023 and randomly divided into two groups. Total hip replacement was adopted in the research group, and femoral head replacement was performed in the control group. The surgical indicators, quality of life, hip replacement, Harris hip score, and surgical complications were compared between the groups. Results: The operation time of the research group was longer than that of the control group, and the intraoperative blood loss and postoperative drainage volume were higher than those of the control group, P < 0.05; the SF-36 (36-Item Short Form Health Survey) score of the research group was higher than that of the control group, P < 0.05; the Harris scores of various hip joints of the research group were higher than those in the control group, P < 0.05; the femoral neck fracture complication rate in the research group was lower than that in the control group, P < 0.05. Conclusion: Both total hip replacement and femoral head replacement can improve hip joint function in treating femoral neck fractures in elderly people. However, total hip replacement has better long-term efficacy and can enhance patients’ quality of life and reduce postoperative complications.

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