Uncemented and cemented hemiarthroplasty for femoral neck fracture with end-stage renal failure

Abstract

Aim: The aim of this study is to evaluate the results of hemiarthroplasty performed with cemented and uncemented femoral stem in femoral neck fractures with ESRF. Material and Methods: Patients aged over 65 years with ESRF who admitted to our clinic for femoral neck fractures between January 2019 and June 2021 and underwent hemiarthroplasty, included in the study. Group 1 included patients with ESRF who underwent hemiarthroplasty with cemented stem due to femoral neck fracture. And group 2 included patients with ESRF who underwent hemiarthroplasty with uncemented stem due to femoral neck fracture. Functional scores of the patients and femoral stem loosening rates were evaluated with Harris Hip Score and radiographs. Result: 48 patients (21 male, 27 female) were included in the study. Twenty of the patients were treated with posterior approach and 28 were treated with anterolateral approach. The mean age of the patients was 78,6±11,32 years (range: 65-93 years).The mean follow up time was 28,9 months (24-36 months).There was no significant difference between loosening of cemented and uncemented stems (p= 0,087). The mean HHS of the patients was 69.5 for group 1 and 71.8 for group 2 (range 40-85). There was no significant difference between HHS of group 1 and 2 (p>0.05). Conclusion: Patients with ESRF who underwent hemiarthroplasty due to femoral neck fracture have a higher complication risk. The loosening rates and functional scores of cemented and uncemented hemiarthroplasty are similar.