To study the early efficacy of total hip arthroplasty in the treatment of traumatic femoral neck factures.

One hundred patients with traumatic femoral neck fractures in Jixi People's Hospital from January 2021 to June 2022 were selected and randomly divided into the observation group and the control group, with 50 cases in each group. The perioperative indicators, inflammatory factors, stress hormones, hip joint score, balance ability and the incidence of lower extremity venous thrombosis were compared between the two groups. The analyses of measurement data were performed using independent sample t test for comparison between groups, paired t test for comparison within groups, and repeated measures analysis of variance for comparison at multiple time points. Count data were analyzed by chi square test was used. P<0.05 indicated statistically significant difference.

Compared with the control group, the intraoperative blood loss, postoperative drainage volume, operation time and hospital stay in the observation group increased (t=3.985, 4.487, 3.915, 3.242, all P<0.05). Compared with the control group, interleukin (IL) -1β, tumor necrosis factor (TNF) -α, stress hormone adrenocorticotropic hormone (ACTH), and catecholamine (CA) in the observation group decreased (t=2.201, 11.770, 6.540, 6.551, all P<0.05). After one month of treatment, there was no statistically significant difference in the Berg balance scale (BBS) scores between the two groups (P>0.05). Compared with the control group, BBS score in the observation group increased at three and six months of treatment (t=4.080, 4.241, both P<0.05). Compared with the control group, the excellent and good rate of Harris score in the observation group increased (χ²=4.396, P<0.05). There was no statistically significant difference in the incidence of lower extremity venous thrombosis between the two groups (P>0.05).

Total hip arthroplasty is an effective treatment option for traumatic femoral neck fractures and can offer patients a better choice.