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《Anatomy and Clinics》 2006-02
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Safe Management of the Aged Patients with Femoral Neck Fracture Treated by Hip Arthroplasty in the Perioperative Period

Shao Junjie,Zhang Xianlong,Ye Tingjun,et al.(Orthopaedic department,Shanghai sixth people's hospital,Shanghai Jiaotong university,Shanghai 200233)  
Objective:To investigate the safety of artificial hip replacement during the perioperative period in the aged patients with femoral neck fracture.Methods:99 cases who were old than 75 years with femoral neck fracture were treated by total hip arthroplasty through posterior approach.Combined diseases were managed actively before operation and the functional exercises were done early after operation.Blood transfusion was performed according to patient's general condition during the perioperative period.Results:34 patients underwent total hip arthroplasty and 65 patients were treated with bipolar hip arthroplasty.31 patients(31.3%) were received blood transfusion during perioperative period.Complications occurred in 8(8%) cases after operation but no dead case.Straight leg raising could be performed in 91 patients(91.9%) and 95 cases(96%) could walk by the aid of walking aids within one week postoperatively.Conclusions:Minimally invasive hip arthroplasty combined with posterior approach is a effective way to treat those aged patients with femoral neck fracture.Well preoperative preparation and correct postoperative management ensure the perioperative safety.
【CateGory Index】: R687.3
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