Uncemented bipolar hemiarthroplasty using Autologus bone graft from femoral head: A retrospective analysis of 60 cases

Abstract

One of the most common treatments of displaced fracture of femoral neck in elderly is bipolar hemiarthroplasty. About 60 patients under go bipolar hemi arthroplasty were assessed at least after 9 months post operative to assess outcome of our method of surgery. We use femoral head as auto graft to fill canal which work as space filler and later on expected it to incorporate in to bone and make prosthesis stable. Result of our study is slightly better than cemented group with significant low peri operative morbidity as well as very cost effective and in less operative time. Though un cemented modular bipolar is better than fixed implant in terms of restoration of perfect hip biomechanics but our method is cheap alternate option. Only relative contraindication of our method is very old neck femur with resorbed head and wider canal with osteoporosis. Because of retrospective nature of our study we got only those patient, which are suitable for this procdure which is limitation of our study. Further study by different group needed to confirm usefulness of this method.