Clinical Therapeutics Comparative Efficacy Of Artificial Femoral Head Replacement Versus Total Hip Arthroplasty In Trearting Elderly Patients With Femoral Neck Fracture

Objective:By comparing the clinical therapeutics of artificial femoral head replacement group with total hip arthroplasty group of therapy of the elderly femoral neck fracture, to analyze the treatment effect of the two surgical procedures.Method:Based on the observation of 57 cases of patients with elderly femoral neck fracture in the Third Affiliated Hospital of Guangxi Medical University from March 2003 to March 2009, we separated the patients into two groups, group A for artificial femoral head replacement and B for total hip arthroplasty. We compared the two groups from operative time, intra-operative blood lose, postoperative drainage, hospitalization period, time of postoperative weight-bearing, early postoperative complications, long-term postoperative complications, and postoperative recovery of hip function.Results: Two groups of patients are interviewed randomly from 6 months to 6 years, 26.5 months on average. There was no significant difference between A group with B group in hospitalization period, time of postoperative weight-bearing, and early postoperative complications (p > 0.05). However, operative time, intra-operative blood loses, postoperative drainage, long-term postoperative complications, and postoperative recovery of hip function between the two group showed significant difference (p < 0.05).Conclusion: Total hip arthroplasty has higher recovery rate of hip function, less long-term postoperative complications, and is the preferred method of artificial hip replacement, even for elderly patients if in better health conditions, have longer life expectancy, or with larger exercise-load. Accordingly, for patients in worse health condition, with shorter life expectancy, or with smaller exercise-load, artificial femoral head replacement is a more suitable method.