Cemented or uncemented bipolar hemiarthroplasty for femoral neck fractures in aged patients

Abstract

Background: In aged patients, a femoral neck fracture is the most common hip fracture injury and most commonly treated with bipolar hemiarthroplasty. The available data on the outcomes of cemented bipolar hemiarthroplasty or uncemented bipolar hemiarthroplasty in terms of functional parameters is scant. Hence we had evaluated the functional outcomes in a femoral neck fracture patients treated with either cemented bipolar hemiarthroplasty or uncemented bipolar hemiarthroplasty. Material and Methods: About 120 aged patients who had a femoral neck fracture, constituted the total sample size. Out of which 60 aged patients were treated with cemented bipolar hemiarthroplasty and rest 60 patients were treated with uncemented bipolar hemiarthroplasty. The patients were followed up at 3rd, 6th and 12th postoperative months.Results: The mean age was 69.83 years in cemented bipolar hemiarthroplasty group and 69.6 years in uncemented bipolar hemiarthroplasty. The Harris Hip Score was 90.2 in cemented bipolar hemiarthroplasty group and 87.9 in uncemented bipolar hemiarthroplasty group. Our study show more blood loss in the cemented bipolar hemiarthroplasty group while more implant-related complications in an uncemented bipolar hemiarthroplasty group. The follow up rate was 100% in our study. Conclusion: This study was able to show that cemented bipolar hemiarthroplasty had a good functional outcome.