Prospective Study of Functional Outcome of Uncemented Bipolar Hemiarthroplasty in Neck of Femur Fracture Patients

Abstract

Background: Neck of femur fractures (NOF) are common in elderly patients and often require surgical intervention. Bipolar hemiarthroplasty, a treatment option for displaced fractures, can be performed with either cemented or uncemented prostheses. This study evaluates the functional outcomes of uncemented bipolar hemiarthroplasty in patients with NOF fractures.

Methods: In this prospective study, 24 elderly patients with displaced NOF fractures underwent uncemented bipolar hemiarthroplasty. Preoperative assessments included radiographs and functional scoring using the Harris Hip Score (HHS). Postoperative follow-up was performed at 2 weeks, 3 months, 6 months, and 1 year to assess pain, mobility, and overall functional recovery.

Results: The mean Harris Hip Score significantly improved in postoperative assessments . Pain levels decreased, and mobility increased progressively, with a majority of patients regaining independence in daily activities.

Conclusion: Uncemented bipolar hemiarthroplasty provides favorable functional outcomes with minimal complications in patients with NOF fractures. It offers an effective, long-term solution for elderly patients, with outcomes comparable to cemented implants, but with potential advantages in terms of reduced complications associated with cement use.