Abstract

Hemiarthroplasty is the most common treatment for displaced femoral neck fractures in the elderly. Evidence of better functional outcomes with cemented implants is limited, although serious cementrelated complications have been reported. This study compared clinical outcomes of cementless vs. cemented hemiarthroplasty 3 months after surgery. Data were taken from the Proximal Femoral Fracture Out-patient Clinic at Meir Medical Center. Of 227 patients operated in the orthopedic department from March 2012–December 2014, 123 underwent bipolar hemiarthroplasty with cement and 107 without cement. As age could affect outcomes, patients were grouped according to those younger than 80 or 80-years-old and older. Patients were assessed for functionality and pain using the Harris Hip Score at discharge, 6 weeks and 3 months after surgery. Pain was measured as part of the total Harris Hip Score. The only statistical difference we found was in favor of the older group of patients with cemented hemiarthroplasty at discharge. This was not clinically significant, as both results were in the same category in the pain and total Harris Hip scores. There were no statistically significant differences at 6 weeks and 3 months between either the surgical or the age groups. We did not find any clinical differences between patients with cemented vs. cementless hemiarthroplasty for displaced femoral neck fractures. Considering that the cementing process can cause serious complications or death, we recommend using cementless hemiarthroplasty for the treatment of femoral neck intracapsular fractures in elderly patients.