Comparative Evaluation of Cemented and Uncemented Bipolar Hemiarthroplasty for Femoral Neck Fractures in Elderly Patients

Abstract

Elderly people frequently suffer from expatriate femoral neck fractures, which are linked to significant morbidity, death, and functional disability. Although the best fixing technique is still up for debate, bipolar hemiarthroplasty is the recommended course of treatment. To assess the clinical, functional, radiological, and perioperative results of cemented and uncemented bipolar hemiarthroplasty in elderly patients with displaced femur neck fractures. Thirty patients—fifteen undergoing cemented and fifteen undergoing uncemented bipolar hemiarthroplasty—were included in prospective comparative observational research. Over the course of a six-month follow-up, hospital stays, blood loss, operating time, postoperative discomfort, range of motion, Harris Hip Score, walking abilities, radiological findings, and complications were evaluated.  Cemented hemiarthroplasty was associated with significantly longer operative time and greater blood loss but demonstrated lower postoperative pain and better early hip range of motion. Functional recovery improved progressively in both groups, with comparable Harris Hip Scores and radiological outcomes at six months. Although independent ambulation was more frequent in the cemented group, overall complication rates did not differ significantly. Both cemented and uncemented bipolar hemiarthroplasty provided satisfactory outcomes. Cemented fixation offered superior early functional recovery, whereas uncemented fixation reduced operative time and blood loss, supporting individualized treatment selection based on patient characteristics and surgical considerations.