Compare the result of femoral neck fractures over sixty years old reduction and internal fixation with through arthroplasty

Abstract

Surgical methods in femoral neck fractures have been associated with controversial results in many studies, most of them considering postoperative side effects and function. Therefore, the aim of this study was to evaluate the results of femoral neck fractures in individuals It is up to sixty years old through internal fixation and arthroplasty. Age It is not a suitable criterion for deciding which type of surgery and bone quality and The patient's previous performance as well as the individual's living conditions are more acceptable criteria for selecting the type It is surgery. Methods: This cohort (retrospective) study was conducted during 1398 with a survey of 100 patients undergoing femoral fractures by closure and fixation by arthroplasty. Data were recorded in the Harris Hip Score questionnaire and analyzed by SPSS20 software and t-test with a significant level of less than 0.05. Results: The mean and standard deviation of hip performance indicated a statistically significant difference (P = 0.029) It was in favor of the arthroscopic group that pelvic pelvic performance was better in patients with femoral neck fractures by arthroscopy than on the patients in the reduction group; on the other hand, complications such as deep vein thrombosis and post-surgical infection in the group Treatment with arthroplasty was significantly higher. In patients with high fracture typing more often under arthroplasty and in patients with low fracture typing Most were undergoing fixation and fixation. On the other hand, patients with male gender were more likely to undergo surgery Removal and fixation and females were more likely to undergo arthroplasty. Also most patients Women who had undergone reduction and fixation had failed treatment they had.