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目的：全髋关节置换术和半髋关节置换术治疗老年移位股骨颈骨折的临床疗效比较。探讨为老年患者选择更合适的手术方式。方法：回顾总结2010年1月～2013年1月手术治疗并获得随访的老年股骨颈骨折患者121例，其中半髋关节置换术80例，全髋关节置换术41例，观察比较两组患者的手术效果。结果：两组患者均顺利完成手术，半髋关节置换组手术时间、术中失血量、术后引流量均优于全髋关节置换组（ P ﹤0.05）。全髋关节置换组 Harris 评分优良率（87.8％）高于半髋关节置换组（71.2％），组间比较差异有统计学意义（P ﹤0.05）。结论：老年股骨颈骨折的治疗选择全髋关节置换术或半髋关节置换术均是有效方法，对于可耐受手术、预期寿命长的病人采取全髋关节置换术可能会得到更有利的功能恢复。对于身体条件差、预期寿命短的患者可使用半髋关节置换术。“,”OBJECTIVE: To compare the clinical efficacy of total hip arthroplasty and hemiarthroplasty on femoral neck fractures in the elderly in order to choose better operation way for elderly patients.METHODS: The clinical data of 121 elderly patients with femoral neck fracture admitted in this hospital from January 2010 to January 2013 was retrospectively analyzed.Among these 121 pa-tients, 41 patients were treated by total hip arthroplasty and 80 patients were treated by artificial femoral head replacement.The ad-vantages and disadvantages of these two procedures were analyzed.RESULTS: All of these patients were successfully operated.Oper-ating time, amount of intraoperative blood loss and postoperative drainage in the patients in hemiarthroplasty group were better than those in total hip replacement group (P ﹤ 0.05).Their excellent rates of Harris scores were 87.8% and 71.2% respectively (P ﹤0.05).CONCLUSIONS: Both total hip replacement and hemiarthroplasty are effective procedures in the treatment of elderly patients with displaced femoral neck fractures.Those patients with long life expectancy and good tolerance choosing total hip arthroplasty are more favorable and they can acquire better postoperative joint function recovery.Hemiarthroplasty is more adequate for the patients with short life expectancy and bad health.