【摘要】 目的 探討高齡股骨頸骨折人工髖關節(jié)置換的療效。方法 總結人工髖關節(jié)置換治療58例75歲以上的高齡股骨頸骨折，分析其療效及并發(fā)癥。結果 經過3~19個月（平均8.5個月）隨訪，58例術后2~3周均恢復行走活動，無1例死亡。按髖關節(jié)功能Harris評分標準：優(yōu)良率89.7%。結論 人工股骨頭或全髖關節(jié)置換術是治療高齡股骨頸骨折的有效方法，可促使老年人早期活動，恢復關節(jié)功能，提高生活質量。關鍵詞： 老年人；股骨頸骨折；關節(jié)置換中圖分類號：R683.42；R687.3Artificial hip arthroplasty for femoral neck fracture in elderly patients Abstract:Objective To evaluate elderly patients with femoral neck fracture prosthesis results. Methods Aggregate artificial joint replacement for the treatment of 58 patients over the age of 75 elderly patients with femoral neck fracture, analyze its effects and complications. Results After 3 ~ 19 months (mean 8.5 months) follow-up, 58 cases after 2 ~ 3 weeks were resuming normal activities, no one died. By the Harris hip score functional criteria : excellent rate 89.7%. Conclusions Unit artificial hip replacement is the treatment of femoral neck fracture in patients with an effective way to enable the elderly early activities, restore joint function and improve quality of life. Key words: Elderly patient;The fracture of femoral neck;Arthroplasty