BASBone and Arthrosurgery Science3083-48562981-8222Bio-Byword Scientific Publishing Pty. Ltd.10.26689/bas.v1i3.5967ArticleEffects of Total Hip Replacement and Femoral Head Replacement in the Treatment of Femoral Neck Fractures in Elderly Patients and Their Impacts on Hip Joint Functionhttps://artdesignp.com/journal/BAS/1/3/10.26689/bas.v1i3.5967YangJie2023132023-12-30Objective: To explore the therapeutic value of total hip replacement and femoral head replacement in elderly patients with femoral neck fractures. Methods: 30 elderly patients with femoral neck fractures were sampled from January 2019 to August 2023 and randomly divided into two groups. Total hip replacement was adopted in the research group, and femoral head replacement was performed in the control group. The surgical indicators, quality of life, hip replacement, Harris hip score, and surgical complications were compared between the groups. Results: The operation time of the research group was longer than that of the control group, and the intraoperative blood loss and postoperative drainage volume were higher than those of the control group, P < 0.05; the SF-36 (36-Item Short Form Health Survey) score of the research group was higher than that of the control group, P < 0.05; the Harris scores of various hip joints of the research group were higher than those in the control group, P < 0.05; the femoral neck fracture complication rate in the research group was lower than that in the control group, P < 0.05. Conclusion: Both total hip replacement and femoral head replacement can improve hip joint function in treating femoral neck fractures in elderly people. However, total hip replacement has better long-term efficacy and can enhance patients’ quality of life and reduce postoperative complications.

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