目的：探讨全髋关节置换术与空心钉内固定术治疗股骨颈骨折的临床疗效。方法回顾性分析2012年1月～2013年8月在我院进行治疗的股骨颈骨折患者40例的临床资料。其中20例患者采用全髋关节置换术治疗，20例患者采用空心钉内固定术治疗，并比较两组临床疗效。结果置换组手术时间显著较内固定组长，出血量显著较多，但其术后下地活动时间、愈合时间及住院时间显著较短（P＜0.01）。置换组优良率显著高于内固定组（P＜0.05）。结论全髋关节置换术与空心钉内固定术治疗股骨颈骨折比较，临床疗效更好，术后恢复更快，但其手术创伤相对较大，手术时间更长，术中出血量较大。%Objective To discuss clinical efficacy of total hip replacement arthroplasty and cannulated screw fixation for treatment of fracture of neck of femur. Methods Clinical data of 40cases with fracture of neck of femur were retrospectively analyzed. 20 cases were treated by total hip replacement arthroplasty, and 20 cases were treated by cannulated screw fixation. Clinical efficacy were compared between two groups. Results Operative time of group of replacement was longer than that of group of cannulated screw fixation, and amount of bleeding was more than that of group of cannulated screw fixation(P < 0.01). Postoperative activities on fields, mean healing time and hospital stays of group of total hip replacement arthroplasty were earler than those of group of cannulated screw fixation(P < 0.01). Excellent rate of group of total hip replacement arthroplasty was higher than that of group of cannulated screw fixation(P < 0.05). Conclusion Compared to cannulated screw fixation, total hip replacement arthroplasty for fracture of neck of femur shows better clinical, postoperative recover faster. But it shows extensive operation,long operation time, and large bloodletting volume.
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