Results of cementless and cemented bipolar hemiarthroplasty in proximal femur fractures with Dorr type B morphology

Abstract

Aim: Surgical outcomes of patients, who had Dorr type B femoral morphology, were operated on with bipolar hemiarthroplasty for hip fracture were compared. Materials And Methods: This retrospective study included 352 patients with at least five years of follow-up. The patients were divided into two groups: cementless (Group 1; n = 136) and cemented (Group 2; n = 216). The study focused on the following parameters: admission cost, fracture type, gender, need for blood transfusion, Harris hip score (HHS), additional fracture, use of cement, mortality rate, revision surgery, the time between trauma and operation, duration of hospital stays, and surgery time. Results: The mean age of the patients in Group 2 was higher. Group 2 had a significantly longer duration of surgery and a higher need for blood transfusion than Group 1. The mean hemoglobin values of the patients in Group 2 was lower. The pertrochanteric femur fractures was more common than the neck of femur fractures in Group 2. The two groups did not differ by the parameters of the time between trauma and operation, mortality rate, revision surgery, duration of hospital stay, cost, and additional fracture. Conclusion: In this study, patients with femoral neck fractures were mainly operated on with cementless bipolar hemiarthroplasty, while patients with pertrochanteric femur fractures were primarily treated with cemented bipolar hemiarthroplasty.