Clinical Efficacy Of Hip Joint Function Recovery With Or Without Joint Capsule Repair In Total Hip Arthroplasty Via DAA Approach

Objective To compare the elderly’s hip joint functional recovery following femoral neck fracture surgery has been clinically proven to be effective.through direct anterior approach(DAA)with or without repair of joint capsule cut in total hip arthroplasty.Methods This experiment was for retrospective analysis.60 cases of elderly patients with the femoral neck fracture selected the Direct anterior approach(DAA)who were admitted to our hospital’s Department of Osteoarticular Surgery from a whole year until December 2021 were included.These cases were randomly assigned to the capsular repair group(to repair the joint capsule)and the control group(not to repair the joint capsule)according to whether the capsular repair was performed during the operation,30 cases in each group.The operation duration,intraoperative blood loss,drainage volume on the first day after operation,and whether there was dislocation or not were compared between the two groups.Postoperative pain score(VAS),hip function score(Harris)of 1,3,6 months after surgery,and 1 year after surgery in both groups to make research analysis and comparison.Results According to the results of the research experiment,Patients in the repair group had longer operation time than those in the control group,and the difference was statistically significant(p<0.05).In the surgical treatment of patients,the bleeding volume of patients in the repaired group was even higher,and the discrepancy was not significant without statistical value(p>0.05).This indicates that the repair of the joint capsule during surgery results in an increase in the surgical time consumption,while patients also face a high risk of bleeding.Comparing the drainage tube metering of the blood on the first day after surgery between the two groups,and the control group had fewer patients.The difference between the two groups was not significant and had no statistical value(p>0.05).After receiving the surgical treatment,the patients in the control group could get out of bed earlier for rehabilitation training.The difference between the two groups was not significant and there was no statistical value(p>0.05).Patients in the control group had better Harris scores one and three months after surgery,while their VAS scores were lower(p<0.05).The difference was significant and there was statistical value.Nevertheless,the discrepancy between the two scores in the patients of the two groups at 6 and 12 months significant by no means and had no statistical value(p>0.05),In the control group,two patients experienced adverse reactions after operation,of which,one patient experienced adverse incision recovery,and the other one experienced venous thrombosis,accounting for 6.67%;In the observation group,three patients experienced adverse reactions,including two patients with adverse incision recovery and one patient with joint dislocation,accounting for10%.The difference between the two groups was not at all significant and had no statistical value(p>0.05).Conclusion In the DAA operation for the elderly patients,repairing the open joint bag was better than not repairing it.It could the repair of the dissected joint capsule can promote early recovery of hip function and reduce the rate of postoperative dislocation.while the same,it would also increase the length of the operation and the risks of bleeding during the operation.But for the long-term effects of the patient after the surgery,there was no obvious difference whether to repair the damaged joint capsule or not.