Cemented versus Uncemented Hemiarthroplasty for Displaced Femoral Neck Fractures

• DOI: 10.1007/s11999-008-0672-y
• Publication Date: 2009-01-06T22:06:12Z
• Authors: Wender Figved; Vidar Opland; Frede Frihagen; Tore Jervidalo; Jan Erik Madsen; Lars Nordsletten
• Keywords: Harris Hip Score

Hemiarthroplasty is the most commonly used treatment for displaced femoral neck fractures in elderly. There limited evidence literature of improved functional outcome with cemented implants, although serious cement-related complications have been reported. We performed a randomized, controlled trial patients 70 years and older comparing implant (112 hips) an uncemented, hydroxyapatite-coated (108 hips), both bipolar head. The mean Harris hip score showed equivalence between groups, 70.9 group 72.1 uncemented after 3 months (mean difference, 1.2) 78.9 79.8 12 0.9). In group, duration surgery was 12.4 minutes shorter intraoperative blood loss 89 mL less. Barthel Index EQ-5D scores did not show any differences groups. rates mortality were similar Both arthroplasties may be good results fractures.