Functional outcome of cemented versus uncemented modular bipolar hemiarthroplasty in proximal femoral neck fractures

Author(s): Ankush V Mohabey, Prajakta R Warjukar and M Ravikumar

Abstract: The study was carried out to compare the intraoperative events, complications, recovery to physical independence & functional outcome based on Harris hip score encountered in each of the cemented & uncemented hemiarthroplasty groups to draw a conclusion regarding which was the better in the management of fracture neck of femur on elderly. This study included 40 cases of fracture neck of femur in elderly aged more than 50 years, divided into 2 groups with 20 patients in each group which were assigned randomly and followed up for 6 months. 1 group of the patients was treated by uncemented prosthesis whereas the other group was treated with cemented prosthesis. The intraoperative parameters like blood loss & duration of surgery were noted & functional evaluation was done at the end of 6 months. At the end of 6 month follow up, there was no statistical difference in the Harris hip scoring, (P = 0.589) between the two groups. The complications were distributed in both the cemented & uncemented groups & were insignificant. The difference in the duration of surgery & the amount of blood loss was significant between the groups considering the age & associated morbidity with the patients (P = 0.0001). The difference in the duration of surgery & the amount of blood loss was significant between both groups. The complications were distributed in both uncemented & cemented group & were statistically insignificant.

DOI: https://doi.org/10.22271/ortho.2017.v3.i4i.83