![]() This is going out of fashion due to the added complication of osteolysis. The large prosthetic head can be removed and a smaller one attached to the femoral stem and an acetabular cup prosthesis is inserted. The prosthesis may be a bipolar hemiarthroplasty, which can be converted to a total hip arthroplasty in the future. Traditionally these days, only patients with hip fractures (femoral neck fractures) are treated with a hemiarthroplasty. Cemented hemiarthroplasty have fewer prosthesis-related complications when compared to an uncemented hip prosthesis despite similar rates of mortality 4. Many organizations worldwide recommend the cemented technique as standard 2,3. When cemented, a plastic medullary cavity plug may be used to stop the inferior migration of the cement. The femoral stem is inserted similarly to total hip arthroplasty and can be cemented or non-cemented. Posterior (Moore, Southern, and true posterior)Īnterior (direct anterior, Smith-Peterson) Results from Lithuanian Arthroplasty Register. ![]() Fracture fixation versus hemiarthroplasty for unstable intertrochanteric fractures in elderly patients: A systematic review and network meta-analysis of randomized controlled trials. Cemented bipolar hemiarthroplasty versus total hip arthroplasty in femoral neck fracture patients. Nitiwarangkul L., Rattanasiri S., Thakkinstian A. An artificial joint with two bearings replaces the damaged joint. Despite being an extremely common and resource consuming injury for national health services, most appropriate treatment for displaced femoral neck fractures (DFNFs) in the elderly is still a matter of debate between bipolar hemiarthroplasty (BHA) and total hip arthroplasty (THA). A femoral neck fracture (FNF) and intertrochanteric fracture (ITF) are the two most common types of PFF. Hemiarthroplasty is generally performed via one of the following approaches 4: Bipolar hemiarthroplasty (BHA) is a surgical treatment for femoral neck fractures of the hip. In younger or more active patients, outcomes are better with total hip arthroplasty 1. Life expectancy is increasing worldwide, as is the proportion of older people in the overall population. As the procedure is quicker and far less morbid than internal fixation, hemiarthroplasty is also routinely used in older, less active and co-morbid patients who would not be good surgical candidates for total arthroplasty. Keywords: Femoral neck fracture, Hemiarthroplasty, Intraoperative fracture, Risk factor, Femur shape, Dorr, mobility, Decision-making. Compared with THA, HA is associated with a lower dislocation rate but many studies have reported lower functional performance and higher reoperation rates 2, 3. Hemiarthroplasty is indicated for the surgical treatment of subcapital neck fractures that are displaced and at high risk of femoral head avascular necrosis, ( Garden III and IV fractures) if treated with DHS internal fixation 1. Hemiarthroplasty (HA) and total hip arthroplasty (THA) are treatment options for elderly patients with femoral neck fractures (FNF).
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