Comparative study of cemented versus uncemented hemiarthroplasty of displaced fracture of femur neck in elderly

Abstract

The controversy regarding the advantages and disadvantages of the cemented bipolar prosthesis with uncemented bipolar prosthesis is still in debate. The present study was carried out with an aim to compare hemiarthroplasty using cemented bipolar prosthesis with uncemented bipolar prosthesis in elderly patients with intracapsular fractures of the neck of femur. Thirty elderly patients with femoral neck fracture in each group were enrolled in the study. Devastating injuries of hip viz. Femoral neck fracture mostly affect the elderly age group leading to debilitatory health issues, reducing quality of life, increase in economic burden over family and number of deaths. This study has been taken up to compare two groups in terms of functional outcome. Prospective analysis of 60 elderly patients who underwent hemiarthroplasty using cemented bipolar prosthesis (n=30) & uncemented bipolar prosthesis (n=30) for intracapsular fractures of the neck of femur were reviewed. Postoperative harris hip score & visual analogue score was assessed at discharge, 3 weeks, 6 weeks, 12 weeks & 6 months for both the groups. At 3 weeks, 6 weeks, 12 weeks and 6 months follow-up intervals Harris Hip score & visual analogue score of the two groups were not statistically significant. Conclusion: The present study compared both cemented and uncemented bipolar prosthesis offering similar functional outcomes among elderly patients with fracture femoral neck.