| ObjectiveTo study the effects of internal fixation(IF), femoral hemiarthroplasty(FHA) and total hip arthroplasty(THA) in treatment of femoral neck fractures in elderly patients.MethodsA retrospective study was carried out in 106 elderly patients of femoral neck fractures treated from January 2009 to October 2009. The differences of operating time, volume of bleeding, hospitalization time, function of joint, complications among group IF, group FHA and group THA were compared.ResultsIn group IF, the operating time, volume of bleeding and hospitalization time were least, while the function of hip after operation was worst. In group THA, the rate of complication was lower than that in group IF, and the function of joint was best, but the injury to the body was greater than that in group IF. In group FHA, the injury was less severe than that in group THA, while the rate of complication was higher than that in group THA, and the function of hip was worse than that in group THA.ConclusionA selection of the appropriate treatment should take into account the indications as well as the patient age, general conditions of patients and the degree of fracture displacement... |