Abstract
Hemiarthroplasty is a commonly done treatment for displaced fractures of the femoral neck in the elderly and is associated with better functional outcome and fewer reoperations than internal fixation. A large number of prostheses have been used with or without cement and no definite conclusions have been made regarding which type of arthroplasty is preferred. We performed a randomized controlled trial in 100 cases of intracapsular fractures of the neck of femur in patients above the age of 60 years, comparing hemiarthroplasty using cemented bipolar prosthesis with uncemented bipolar prosthesis. In present study, the mean Harris hip score was found to be 87.9 with an average of 89.25 in cemented group and 83.5 in uncemented group. Average time for full weight bearing was 6.45 days with an average of 7.55 days in uncemented group and 5.35 days in cemented group. In Indian population, cemented bipolar hemiarthroplasty is better treatment option in elderly patients with intracapsular fractures of the neck of the femur, as they have better Harris hip score & reduced time for full weight bearing.
Highlights
Fractures of neck of the femur have always presented great challenges to orthopaedic surgeons
A large number of prostheses have been used with or without cement and no definite conclusions have been made regarding which type of arthroplasty is preferred.2,3There is some evidence of inferior short-term results, with decreased mobility and more pain when using an uncemented implant and concerns regarding fixation problems with uncemented stems in osteoporotic bone have been raised.[2,3]
This study aims at comparing hemiarthroplasty using cemented bipolar prosthesis with uncemented bipolar prosthesis in elderly patients with intracapsular fractures of the neck of femur
Summary
Fractures of neck of the femur have always presented great challenges to orthopaedic surgeons They are associated with a lot of co-morbid conditions like hypertension, cardiac problems, diabetes and dementia. This combined with prolonged immobilization due to fractures leads to increased morbidity and mortality.[1] early mobilization after hemiarthroplasty is necessary in intracapsular neck fractures. A large number of prostheses have been used with or without cement and no definite conclusions have been made regarding which type of arthroplasty is preferred.2,3There is some evidence of inferior short-term results, with decreased mobility and more pain when using an uncemented implant and concerns regarding fixation problems with uncemented stems in osteoporotic bone have been raised.[2,3]
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