Objective To observe the effect of artificial hip joint replacement and internal fixation on postoperative functional rehabilitation in senile patients with hip fracture.
Methods A total of 80 senile patients with hip fracture in the hospital were divided into two groups by randomized double blind method, with 40 cases in each group. Control group underwent internal fixation, and observation group was treated with artificial hip joint replacement. The surgical indexes, postoperative time to first weight bearing, recovery of hip joint function, complications in two groups were observed.
Results The intraoperative bleeding volume of control group was lower, and the postoperative time to first weight bearing was later than that in observation group (P < 0.05); there were no statistical differences in the operation time and postoperative drainage volume between two groups (P>0.05). After 3, 6 months of surgery, the Harris scores of observation group was higher (P < 0.05), and the incidence of complications was lower than that in control group (P < 0.05).
Conclusion Compared with internal fixation, artificial hip joint replacement can promote postoperative recovery of hip joint for senile patients with hip fracture, shorten postoperative time to first weight bearing, and decrease the incidence of postoperative complications.
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