Abstract

Purpose: Bipolar Hemiarthroplasty in displaced intracapsular femoral neck fractures-cemented versus non-cemented-a comparative Kashmir study. Methods: From January 2001 to June 2016,152 hemiarthroplasties were done for displaced intracapsular femoral neck fractures (Garden type III & IV). Ninety eight of these patients were followed up for more than twenty four months,while fifty four were lost to follow-up. Results: The mean operative time for cemented and non-cemented groups were 57 minutes (40-85 minutes) and 50 minutes (40-75 minutes) respectively.The mean intra-operative blood loss in two groups were 378ml (268-579ml) for the cemented group and 291ml (225-431ml) for the non-cemented group. At last follow-up,the mean HHS in the cemented group was 76.7 points (41 -102 points) and in the non-cemented group,86 points(61 to 101 points) while as mean pain score was 2.8 points(1-4points) and 2.0 points(1-3.4points) respectively. Conclusion: In the present study,overall results were slightly better in non cemented hemiarthroplasty group than in cemented group in terms of blood loss and HSS score on latest follow-up.

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