Comparison of Cemented with Uncemented Bipolar Hemiarthroplasty in Femoral Neck Fracture in over 70 Years Old Patients in Short-Term

Teimouri, Mehdi; Motififard, Mehdi; Lalehzar, Sahar Sadat; Elyasi, Mahsa

doi:10.22034/ijos.2022.323437.1018

Comparison of Cemented with Uncemented Bipolar Hemiarthroplasty in Femoral Neck Fracture in over 70 Years Old Patients in Short-Term

Document Type : Original Article

Authors

Mehdi Teimouri ¹

Mehdi Motififard ²

Sahar sadat Lalehzar ³

Mahsa Elyasi ³

¹ Assistant Professor, Department of Orthopaedic Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

² Professor, Department of Orthopedic Surgery, School of Medicine, Isfahan, Iran

³ Medical doctor, Department of Orthopaedic Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

https://doi.org/10.22034/ijos.2022.323437.1018

Abstract

Background: Hip hemiarthroplasty is a common method in treating femoral neck fractures in patients older than 70 years old. Depending on the severity of bone destruction, and bone stock, two methods either cemented or non-cement bipolar prosthesis may be used.
Methods: In a prospective study, 60 patients with femoral neck fractures who were referred to the university hospitals of Isfahan, Iran, were divided into two treatment groups: 30 patients were treated with cemented bipolar method and 30 with non-cement bipolar hip arthroplasty surgery. In a 6-month follow-up, the surgical outcomes were assessed using the VAS pain scale, SF36 general health instrument score, and Harris hip score (HHS).
Results: The pain scale (VAS), SF36 and Harris scores showed non- significant differences in the two groups: pain=3.63 out of 10 in 3 months and 2.6 out of 10 in 6 months; SF36= 69 and 86 in 3 and 6 months ,respectively; HHS=78 in both in 3 and 6 month in the cemented group .In non-cemented group the pain scores were 3.91and 3.12 in 3 and 6 months; SF36=67 and 83, and HHS=82 in 3 and 6 months respectively.
Conclusion: It seems that the two methods of cemented and non-cemented bipolar hemiarthroplasty, in elderly hip fractures, would have similar pain, quality of life, and hip function in short term follow-ups.

Keywords

Femoral neck fracture

Hemiarthroplasty

Bone Cements

Quality of Life

Pain