Comparative study between functional outcomes of fracture neck of femur treated with cemented total hip replacement vs cemented bipolar hemiarthroplasty in elderly

Hip fracture is a conventional trauma and occurrence of neck of femur fractures is increased in cases of osteoporosis, comorbidities and increased trauma. Modality of treatment for neck of femur fracture depends on functional demand and mobility of the patient. Role of operative treatment is to decrease complications and get back the patient to pre morbid condition. Hemiarthroplasty is a major surgery, which has a large exposure, thus more intraoperative bleeding when compared to the counterpart surgery. Bipolar cemented hemiarthroplasty has another advantage of fast mobilization and decreased pain post-surgery. If required, it can be extended into a THR with the same femoral prosthesis. Cemented hemireplacements has less peri-prosthetic fracture rate and loosening of prosthesis is less common.. Cementing will give a tighter attachment and will also decrease post-surgical pain in mid-thigh region and less chances of re surgery.