Closed reduction and internal fixation versus total hip arthroplasty for displaced femoral neck fracture  

作　　者：Cao Liehu Wang Bin Li Ming Song Shaojun Weng Weizong Li Haihang Su Jiacan 

机构地区：[1]Department of Orthopaedics, Changhai Hospital of Shanghai, Shanghai 200433

出　　处：《Chinese Journal of Traumatology》2014年第2期63-68,共6页中华创伤杂志（英文版）

摘　　要：Objective： To compare the clinical effects between closed reduction and internal fixation （CRIF） and total hip arthroplasty （THA） for displaced femoral neck fracture. Methods： In this prospective randomized study, 285 patients aged above 65 years with hip fractures （Garden III or IV） were included from January 2001 to December 2005. The cases were randomly allocated to either the CRIF group or THA group. Patients with pathological fractures （bone tumors or metabolic bone disease）, preoperative avascular necrosis of the femoral head, osteoarthritis, rheumatoid arthritis, hemiplegia, long-term bed rest and complications affecting hip functions were excluded. Results： During the had significantly higher 5-year follow-up, CRIF group rates of complication in hipjoint, general complication and reoperation than THA group （38.3% vs. 12.7%, P〈0.01; 45.3% vs. 21.7%, P〈0.01; 33.6% vs. 10.2%, P〈0.05 respectively）. There was no difference in mortality between the two groups. Postoperative function of the hip joint in THA group recovered favorably with higher Harris scores. Conclusion： For displaced fractures of the femoral neck in elderly patients, THA can achieve a lower rate of complication and reoperation, as well as better postoperative recovery of hip joint function compared with CRIF.

关 键 词：Femoral neck fractures Arthroplasty  replacement  hip Fracture fixation  internal Prospective studies Randomized controlled trial 

分 类 号：S823.2[农业科学—畜牧学] Q441[农业科学—畜牧兽医]