Objective To explore the complications and prevention methods of hemiarthroplasty(HA) through direct anterior approach(DAA) assisting by the traction table for the treatment of femur neck fractures in elderly patients. Methods A The clinical data of 196 elderly patients with femur neck fractures treated with HA through DAA were retrospectively analyzed in our hospital from June 2019 to August 2021. The causes, treatment and prognosis of complications were analyzed in each case. Results All patients were followed up for 12 to 30 months, averagely 21.6 months, and complications were occurred in 25 cases. Among them, 11 cases (5.6%) had lateral femoral cutaneous nerve (LFCN) injury, 6 cases (3.1%) had incisional oozing, 5 cases (2.6%) had periprosthetic fractures, 3 cases (1.5%) had limb length discrepancy. There was no dislocation, prosthesis loosening, infection or other complications during the follow-ups. Conclusions There are many complications such as LFCN injury, incisional oozing, periprosthetic fracture, limb length discrepancy during the treatment of femoral neck fractures in elderly with DAA-HA by assistance of the traction table. Standardization of surgical procedures, improving the surgical technique, paying attention to patient's condition and rehabilitation can reduce its complications.
Key words
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Complications /
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Direct anterior approach /
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Hemiarthroplasty /
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Elderly /
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Femoral neck fracture /
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Traction table
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References
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