
Cementless bipolar hemiarthroplasty in femoral neck fractures in elderly
Author(s) -
S. K. S. Marya,
R Thukral,
Rajibul Hasan,
Mohan S. Tripathi
Publication year - 2011
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.4103/0019-5413.80042
Subject(s) - medicine , surgery , perioperative , intramedullary rod , femur , medullary cavity , femoral neck , ambulatory , blood transfusion , radiological weapon , bone cement , osteoporosis , archaeology , cement , history
Cemented hip arthroplasty is an established treatment for femoral neck fracture in the mobile elderly. Cement pressurization raises intramedullary pressure and may lead to fat embolization, resulting in fatal bone cement implantation syndrome, particularly in patients with multiple comorbidities. The cementless stem technique may reduce this mortality risk but it is technically demanding and needs precise planning and execution. We report the perioperative mortality and morbidity of cementless bipolar hemiarthroplasty in a series of mobile elderly patients (age >70 years) with femoral neck fractures.