A Comparative Study in the Treatment of Fracture Neck of Femur with Cemented and Non Cemented Bipolar Prosthetic Replacement in Rural Hospitals of Bangladesh

Abstract

Background: The treatment of fracture neck of femur with bipolar prosthetic replacement is commonly performed using cemented and non-cemented implants. This study compares the clinical outcomes, complications, and patient satisfaction between these two methods in rural hospitals of Bangladesh. Methods: This comparative study was conducted in rural hospitals of the Kishorganj district, Bangladesh, from January 2023 to December 2023, to evaluate the outcomes of cemented versus non-cemented bipolar prosthetic replacement in patients with femoral neck fractures. Results: The age range of participants was 48 to 68 years. Regarding gender distribution, 44.4% of patients in the Cemented group were male, compared to 37.0% in the Non-Cemented group. The cemented group had a mean hospital stay of 8.3 ± 2.1 days, while the non-cemented group had a slightly longer stay of 9.0 ± 2.3 days. Postoperative infection rates were higher in the cemented group (11.1%) compared to the non-cemented group (3.7%), with diabetic patients showing a higher infection risk in both groups. Patient satisfaction was 78% in the cemented group and 74% in the non-cemented group, with no significant difference between the two groups (p > 0.05). Conclusion: Cemented bipolar prosthetic replacement offers the advantage of shorter hospital stays and slightly higher patient satisfaction, but at the cost of a higher infection rate, particularly among diabetic patients. Non-cemented prostheses provide comparable long-term outcomes with a lower infection risk, making them a viable option for patients with comorbid conditions