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首页> 外文期刊>BMC Musculoskeletal Disorders >Effects of delayed hip replacement on postoperative hip function and quality of life in elderly patients with femoral neck fracture
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Effects of delayed hip replacement on postoperative hip function and quality of life in elderly patients with femoral neck fracture

机译：延迟髋关节置换对老年股骨颈骨折患者术后髋关节功能及生活质量的影响

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BACKGROUND:For various reasons, some elderly patients with femoral neck fracture undergo delayed surgical treatment. There is little information about the effect of delayed treatment on postoperative hip function and quality of life. The aim of this study was to investigate the effect of delayed hip arthroplasty on hip function, quality of life, and satisfaction in patients with femoral neck fractures.METHODS:Forty-seven patients with femoral neck fracture and hip replacement delayed over 21?days served as the delayed group (D group). Patients with femoral neck fracture, matched 1:1 for age and sex, and hip replacement within 7?days served as the control group (C group). The Harris hip score (HHS) and health-related quality of life (HRQoL) were assessed before surgery and 3?months, 6?months and 1?year postoperatively. The satisfaction questionnaires were completed by the patients themselves at the last follow-up.RESULTS:The HHS in the C group was lower than that in the D group (32.64?±?9.11 vs. 46.32?±?9.88, P??0.05) before surgery but recovered faster after surgery. The HHS in the D group was lower than that in the C group 1?year postoperatively (85.2?±?3.80 vs. 89.8?±?3.33, P??0.05). The patients' quality of life changed similarly to their HHS. The HHS 1?year after surgery was related to the preoperative HHS in group D (rsubs/sub?=?0.521, P??0.01). Patients in the D group showed significantly higher satisfaction scores than those in the C group (P??0.05).CONCLUSIONS:Hip function in patients with femoral neck fracture surgery delayed over 21?days recovered more slowly than that in those who underwent surgery within 7?days. However, they were more satisfied with the surgery. Moderate hip movement to ameliorate the lower limb muscle atrophy was recommended for patients facing a temporary inability to undergo surgery.
机译：背景：出于各种原因，一些老年股骨颈骨折患者延迟手术治疗。关于延迟治疗对术后臀部功能和生活质量的影响很少。本研究的目的是探讨股髋关节成形术对股骨颈骨折患者髋关节功能，生活质量和满意度的影响。方法：四十七名股骨颈骨折患者和髋关节置换率超过21？作为延迟组（D组）。股骨颈骨折患者，年龄和性别匹配1：1，髋部替换为7？天内，作为对照组（C组）。在手术前和3个月，6个月和1个月和1个月之前评估哈里斯臀部分数（HHS）和与健康相关的生命质量（HRQOL）进行评估。患者自己在最后一次随访中完成了满意的问卷。结果：C组中的HHS低于D组（32.64？±9.11与46.32？±9.88，P？<？ 0.05）手术前，但手术后恢复得更快。 D组中的HHS低于C组1的HHS？术后一年（85.2？±3.8.80与89.8？±3.33，P？<？0.05）。患者的生活质量与他们的HHS相似。 HHS 1？手术后的一年与D组中的术前HHS有关（R S ？=？0.521，P？<？0.01）。 D组的患者显示出比C组的满意度明显较高（P？<0.05）。结论：股骨颈骨折患者的髋关节功能延迟超过21次，比接受手术的人更慢地恢复在7天内。然而，它们对手术更满意。适度的髋关节运动改善下肢肌肉萎缩，建议用于临时无法接受手术的患者。

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