【摘要】目的：探讨在股骨颈骨折老年患者治疗中应用髋关节置换术的价值。方法：选取2021年2月—2023年2月在医院行髋关节置换术的63例股骨颈骨折老年患者为试验对象，将30例行半髋关节置换术患者设为对照组，另外将33例行全髋关节置换术患者设为观察组，比较两组治疗有效性。结果：治疗后，两组髋关节功能评分无明显差异(P>0.05)；观察组手术时间及术后下地时间均长于对照组，术中出血量多于对照组，住院时间短于对照组(P<0.05)；观察组并发症率低于对照组(P<0.05)。结论：半髋关节置换术与全髋关节置换术均能起到促进患者髋关节功能恢复的作用，半髋关节置换术有着低创、出血量少及术后恢复速度快等优势，全髋关节置换术则有着并发症少、远期疗效佳等优势，需结合患者具体情况合理选择手术方式。

    【关键词】髋关节置换术；股骨颈骨折；老年；髋关节功能；手术指标；并发症

    Clinical efficacy observation of hip replacement in the treatment of elderly femoral neck fracture

    LIU Shuo

    Department of Orthopedics， Jinchang People’s Hospital， Jinchang， Gansu 737100， China

    【Abstract】Objective：To investigate the value of hip replacement in the treatment of senile patients with femoral neck fracture. Methods：63 elderly patients with femoral neck fracture who underwent hip replacement in the hospital from February 2021 to February 2023 were selected as the experimental subjects.30 patients who underwent hemiarthroplasty were set as the control group，and 33 patients who underwent total hip replacement were set as the observation group.The treatment effectiveness of the two groups was compared. Results：After treatment ......