Objective To explore the early efficacy of SuperPATH minimally invasive approach for artificial femoral head replacement in the treatment of femoral neck fractures in the elderly. Methods From October 2015 to June 2017, SuperPATH minimally invasive surgery for artificial femoral head replacement in the treatment of 51 cases of femoral neck fracture in the elderly. There were 20 males and 31 females; left hip in 19 cases and right hip in 32 cases; the mean age was (75.6± 9.7) years. The length of the incision, the operation time and complications were observed. The hip Harris score was used to assess the function of the hip before surgery and 3 days, 6 months and 12 months after surgery. Results All 51 patients were followed up for 12 to 18 months. The length of the incision was (6.5 ±1.7) cm, the operation time was (40.9±12.6) min, the time of hospitalization was (6.5±1.8) d, the intraoperative blood loss was (138.7±30.5) mL, the walking time was (1.6±0.8) d. No complications such as incision infection, DVT, prosthesis dislocation in the follow-up period. The hip score of 3 days after operation and before the operation were [(67.3±6.3) points, (12.1±4.3) points]; the hip score of the affected hip 6 months after operation and 3 days after operation were [(84.7±4.5) points, (67.3±6.3) points], the differences were statistically significant (P<0.05). Conclusion The SuperPATH minimally invasive approach for artificial femoral head replacement for the treatment of advanced femoral neck fractures can effectively improve hip function. Early curative effect is obvious; not only has the advantages of small trauma, light pain, high patient satisfaction, but also reduces the risk of postoperative joint dislocation. |