Comparison of Outcome Following Hemiarthroplasty for Fracture Neck Femur in Elderly between Cemented Approach and Uncemented Approach: Case Reference Study

Abstract

Background:One of major problems seen in the elderly population is fracture neck femur.Indeed, displaced femoral neck fractures greatly limit the quality of life and result in complications that are associated with relatively high incidence of morbidity and mortality. The surgical approach to treat displaced femoral neck fracture is basically of two types. The first one involves cemented hemiarthroplasty and the second one is uncemented hemiarthroplasty. No clear consensus is found in available published articles regarding which approach is better than the other in terms of outcome.

Aim of the study: we were aiming at investigating which surgical approach is associated with better overall outcome in terms of less post-operative pain, early full weight bearing and less need for re-operation.

Patients and methods: The current observational case reference study included 40 elderly patients with an age range of 71 to 85 years. They were 28 women and 12 men. Those patients were with displaced fracture of femoral neck for whom hemiarthroplasty was carried out. They categorized according to type of hemiarthroplasty into two groups. The first group included those patients treated by cemented hemiarthroplasty, whereas, the second group included, those patients treated by uncemented hemiarthroplasty. Those patients were selected form pool of patients visiting Al-Diwaniyah Teaching Hospital at Al-Diwaniyah Province, Iraq.

Results: Cemented approach was associated with significantly less post-operative pain, more rapid full weight bearing and less need for re-operation than uncemented approach (p< 0.05).

Conclusion: Cemented hemiarthroplasty is superior to uncemented hemiarthroplasty for the treatment of displaced femoral neck fracture in the elderly.