조명래ㆍ이재근ㆍ이현섭
대구가톨릭대학교 의과대학 정형외과학교실
Purpose:To compare the short-term clinical outcomes of total hip arthroplasty (THA) with a large diameter femoral head (36 mm) and bipolar hemiarthroplasty (BA) in physiologically active elderly patients with femoral neck fractures. The clinical outcomes were analyzed, and the latest follow-up radiographs were assessed to determine the number of complications. Results: The mean operation time was longer in the THA group. The pain, mobility, and walking ability factors were better in the THA group than in the BA group. There was no limitation in the range of motion in the early post-operative period and no dislocations were encountered in either group. Conclusion: THA with a large diameter femoral head is recommended for the management of patients with femoral neck fractures.