The Curative Effect Comparison of Total Hip Replacement and Artificial Femoral Head Replacement in the Treatment of Senile Femoral Neck Fracture

XIAO Ke-ming

Abstract：Objective:To study the curative effect difference of artificial femoral head replacement and total hip replacement in the treatment of senile femoral neck fracture.Method:176 cases of elderly patients with femoral neck fracture in our hospital were randomly divided into experimental group and control group,experimental group treated with total hip replacement,and the control group used artificial femoral head replacement treatment,the operation time, blood loss,postoperative flow rate,length of hospital stay and postoperative Harris score in the two groups were compared.Result:The operation time in the experimental group was significantly longer than that in the control group,postoperative blood loss and postoperative flow in the experimental group were more than that in the control group,the differences between the two groups were statistical significance(P<0.05),the hospital stay in the experimental group was longer than that in the control group,the difference was statistically significant(P<0.05).After 1 year,the postoperative Harris rating of the experimental group compared with the control group was no significant difference(P>0.05),but after 3 years and 5 years,postoperative Harris rating and good ratings in the experimental group were significantly higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion:The two kinds of operative methods have their own advantages,artificial femoral head replacement are small trauma,shorter operation time,less blood loss and postoperative led traffic,and shorter hospitalization time,but the total hip replacement on the long-term curative effect is more superior than the artificial femoral head replacement.