Cemented versus cementless Bipolar Hemiarthroplasty in treatment of Fracture neck of Femur. | ||||
| Minia Journal of Medical Research | ||||
| Volume 31, Issue 2, April 2020, Page 162-165 PDF (285.77 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjmr.2022.220856 | ||||
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| Authors | ||||
| Ahmed O. Youssef; Mohamed Y. Hasan; Assem M. Nour El-den; Mahmoud A. Anwar | ||||
| Department of Ophthalmology, El-Minia Faculty of Medicine | ||||
| Abstract | ||||
| Osteoporotic fragility incidence of fractures continues to increase along with an aging global population. Decision making for Selecting adequate treatment is very important to avoid complications hip fractures, including femur neck fractures, may lead to complications such as chronic pain, disability, low quality of life, high morbidity and mortality rates, and other. In this retrospective comparative study of 20 cases of BHA (10 cemented, 10 cementless) done in Minia University Hospital form 2017 to 2019 confirmed the following: 1- No fixed preoperative guidelines to be followed for all cases in spite of preoperative planning either clinical or radiological. Intraoperative decision either cemented or cementless is mandatory. 2- Time to surgery and duration of operation are important to minimize postoperative complications. 3- Lateral approach was used in all cases using the implant from the same company. Follow up of the cases (average 11 months): Functional using Harris Hip Score (cemented 77, cementless 72) Pain assessment using VAS (cemented 2.4, cementless 3.2). Radiological assessment (1 cementless case with vertical subsidence more than 5 mm). Complications (one cemented case developed infection and cured, one cemented case developed pulmonary embolism and treated and one cementless case developed inguinal and thigh pain). Discussion of our results were described and analysis of all criteria was done comparing cemented and cementless group. Comparison between our results and other schools of medicine (Swedish, Korean, Turkish ) was done and it was comparable except in the following (no periprosthtic fractures in our study, VAS was high in Korean group, no infection in Swedish group). | ||||
| Keywords | ||||
| Osteoporotic fragility; Hemiarthroplasty; cementless case | ||||
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