Abstract:

BACKGROUND: At present, the internal fixation and total hip arthroplasty are two main methods for the tneatment of femoral neck fracture in elderly patients. But, as for the surgical indications and the pros and cons, there is still a lot of controversy.
OBJECTIVE: To analyze the curative effect and the significance of cannulated screw fixation, artificial femoral head replacement and total hip arthroplasty for the treatment of displaced femoral neck fracture in elderly patients.
METHODS: 108 cases of 65 years old patients with femoral neck fracture were selected and treated with cannulated screw fixation, artificial femoral head replacement and total hip arthroplasty respectively. The differences of joint function, complications and secondary revision rate were compared.
RESULTS AND CONCLUSION: In cannulated screw fixation group, the hospitalization time, bed time and the complications were higher than those in other two groups, and the 2-year follow-up function was the worst. The total hip arthroplasty had the short bed time, low complication and surgical revision rate and the best hip function after operation, while the longest operation time and bigger trauma required the patient had a higher general condition. The trauma of artificial femoral head replacement was smaller than that of the total hip arthroplasty, but the complication rate and the revision rate were higher and the function after total hip replacement was poor. Total hip arthroplasty for the treatment of displaced femoral neck fractures in elderly patients requires high activity and good general condition of the elderly patients which can lead to a good curative effect.