Total hip arthroplasty versus hollow screw fixation for the repair of femoral neck fractures in the middle-aged and elder patients:hip function

Lin Qing-bo

doi:10.3969/j.issn.2095-4344.2015.35.002

Abstract：BACKGROUND:The repair method of femoral neck fractures included internal fixation and hip arthroplasty. The selection of repair methods is affected by many factors, such as age, condition of patients, and own physical condition. The selection of repair methods for femoral neck fractures is always controversial. <br> OBJECTIVE:To compare the hip function and prognosis of elderly patients with femoral neck fractures after total hip arthroplasty and hol ow screw fixation. <br> METHODS:140 patients aged less than 60 years, who accepted treatment in Rizhao Hospital of Traditional Chinese Medicine from April 2012 to February 2014, were selected. They were randomly divided into replacement group and fixation group (n=70). Patients in the replacement group received total hip arthroplasty, and patients in the fixation group received hol ow compression screw fixation. Harris score of the hip, complications and satisfactions of the hip were observed, compared and analyzed between the two groups at 1 month post surgery. <br> RESULTS AND CONCLUSION:The excel ent and good rate of Harris score at 1 month post surgery was significantly higher in the replacement group (90%) than in the fixation group (63%) (P<0.05). The incidence of complications was significantly lower in the replacement group (6%) than in the fixation group (29%) (P<0.05). The satisfaction was significantly higher in the replacement group (93%) than in the fixation group (79%) (P<0.05). These results verify that the application of total hip arthroplasty for middle-aged and elder patients with femoral neck fracture has a rapid recovery on joint function, has fewer complications, and is suitable for patients who pursue high-quality survival activities. Cannulated compression screw fixation is suitable for middle-aged and elder patients with good quality of preoperative bone.