Abstract:

BACKGROUND: Total hip arthroplasty has become one of the common treatment modalities of the traumatic femoral neck fractures in the aged. Total hip arthroplasty with minimal incision not only reduces the surgical trauma and the patients suffering, but also benefits the recovery from operation in the aged.
OBJECTIVE: To explore the clinical results of total hip arthroplasty with posterior minimal incision for the treatment of femoral neck fractures.
METHODS: A total of 25 cases of traumatic femoral neck fractures (Garden Ⅲ and Ⅳ) underwent total hip arthroplasty with posterior minimal incision were retrospectively analyzed.
RESULTS AND CONCLUSION: All 25 cases were followed up for more than 6 months. According to the X-ray examination after operation, the prosthesis was in good position. One case had prosthesis dislocation, and the dislocation didn’t happen after treatment. One case had lower limb discrepancy which did not influence walks. The average Harris score was 85.7 in the 9th month after operation. There was no infection, nerve injury, prosthetic loosening and deep venous thrombosis after operation. The bone condition around the prosthesis was good. These findings indicate that total hip arthroplasty with posterior minimally incision has the advantages of little trauma size, stabilized artificial joints and short recovery time, therefore is a suitable treatment modality for aged femoral neck fractures (Garden Ⅲ and Ⅳ) patients.