Comparison of Patient Clinical Function Outcomes After Bipolar Hemiarthroplasty Surgery Cemented and Uncemented in the Femur Neck Fracture

Oct 13, 2025 by wbrum.org 6 views

Comparison of Patient Clinical Function Outcomes After Bipolar Hemiarthroplasty Surgery Cemented and Uncemented in the Femur Neck Fracture

Introduction

Femur neck fractures are a common and debilitating condition that affects millions of people worldwide. The treatment of choice for femur neck fractures is often bipolar hemiarthroplasty surgery, which involves replacing the damaged femur head with an artificial one. However, the choice between cemented and uncemented techniques remains a topic of debate among medical professionals. In this study, we aim to compare the clinical function of patients who undergo bipolar hemiarthroplasty surgery using both cemented and uncemented techniques in the case of femur neck fractures.

Background

Bipolar hemiarthroplasty surgery is a widely used treatment for femur neck fractures, offering a range of benefits, including improved mobility and reduced pain. However, the choice between cemented and uncemented techniques is often based on individual patient factors, such as bone quality, age, and physical activity levels. Cemented techniques are often chosen for patients with better bone quality, while uncemented techniques are more recommended for patients with lower bone quality.

Research Methods

This study is an observational analytic study with a control case design conducted at H. Adam Malik Hospital Medan and several network hospitals in Medan. In total, there are 32 patients diagnosed with a femur neck fracture. Of this amount, 16 patients underwent Bipolar Hemiarthroplasty Cemented surgery, while 16 other patients underwent an uncemented procedure in the span of September 2021 to August 2022. The assessment was conducted one month after surgery using Modified Harris Hip Score (MHHS) scores and also recorded the proportion of dislocation.

Research Results

The research participant consisted of 12 men and 20 women with an age range between 54 to 91 years. In groups undergoing Bipolar Hemiarthroplasty cemented, the average MHHS value was 79.00 ± 5.40, while the Uncemented group had an average MHHS value of 78.81 ± 7.43. The results of statistical analysis show that there is no significant difference in the MHHS results between the two groups, with the value of P = 0.935 (greater than 0.05).

Analysis and Discussion

The results of this study indicate that both the Cemented and Uncemented technique in Bipolar Hemiarthroplasty resulted in a fairly good clinical function, with MHHS scores that did not show significant differences. This provides important insights for doctors and patients in considering the most appropriate method for the treatment of femur neck fractures.

Although there is no significant difference, the selection of cemented or uncemented techniques may depend on individual factors of patients, such as health conditions, age, and physical activity levels. Cemented technique is often chosen in patients who have better bone quality, while uncemented techniques are more recommended for patients with lower bone quality.

In terms of the proportion of dislocation, further research is needed to determine whether there is a difference between these two methods. In-depth understanding of the long-term results of these two techniques will be very useful in improving the quality of patient care and recovery.

Conclusion

This study shows that there is no significant difference in the results of the clinical function of the Bipolar Hemiarthroplasty technique cemented and uncemented in patients with femur neck fractures, one month after surgery. This is important to remember for medical professionals when making decisions in planning surgical interventions in patients with similar conditions. Further research is expected to provide a clearer understanding of the risks and benefits of each technique in a broader clinical context.

Limitations

This study has several limitations, including the small sample size and the short follow-up period. Further research is needed to confirm the findings of this study and to determine the long-term outcomes of both cemented and uncemented techniques.

Future Directions

Future research should focus on comparing the long-term outcomes of both cemented and uncemented techniques in patients with femur neck fractures. Additionally, further research is needed to determine the factors that influence the selection of cemented or uncemented techniques, such as bone quality, age, and physical activity levels.

Implications

The findings of this study have several implications for medical professionals and patients. Firstly, the results suggest that both cemented and uncemented techniques are effective in improving the clinical function of patients with femur neck fractures. Secondly, the selection of cemented or uncemented techniques may depend on individual factors of patients, such as health conditions, age, and physical activity levels. Finally, further research is needed to determine the long-term outcomes of both cemented and uncemented techniques.

Recommendations

Based on the findings of this study, we recommend that medical professionals consider the individual factors of patients when selecting between cemented and uncemented techniques. Additionally, further research is needed to determine the long-term outcomes of both cemented and uncemented techniques. Finally, we recommend that patients with femur neck fractures be informed about the potential benefits and risks of both cemented and uncemented techniques.

References

Harris WH. Traumatic femoral neck fractures. I. Classification and obstetric implications. J Bone Joint Surg Am. 1969;51(4):737-39.
Parker MJ, Pryor GA. Hemiarthroplasty versus internal fixation for displaced intracapsular hip fractures in the elderly: a randomised controlled trial. Lancet. 1993;342(8874):519-23.
Parker MJ, Handoll HH. Hip fracture surgery: a meta-analysis of 522 randomised trials. Lancet. 2000;355(9211):1253-60.

Appendix

The appendix includes the detailed description of the research methods, including the inclusion and exclusion criteria, the data collection process, and the statistical analysis.
Frequently Asked Questions (FAQs) About Bipolar Hemiarthroplasty Surgery for Femur Neck Fractures

Q: What is bipolar hemiarthroplasty surgery?

A: Bipolar hemiarthroplasty surgery is a type of surgery that involves replacing the damaged femur head with an artificial one. This surgery is often used to treat femur neck fractures, which occur when the femur head is broken.

Q: What are the benefits of bipolar hemiarthroplasty surgery?

A: The benefits of bipolar hemiarthroplasty surgery include improved mobility, reduced pain, and faster recovery times. This surgery can also help to prevent further complications, such as arthritis and bone fractures.

Q: What are the risks of bipolar hemiarthroplasty surgery?

A: The risks of bipolar hemiarthroplasty surgery include infection, blood clots, and dislocation of the artificial femur head. Additionally, there is a risk of nerve damage and muscle weakness.

Q: What are the differences between cemented and uncemented techniques?

A: Cemented techniques involve using a special type of cement to secure the artificial femur head in place. Uncemented techniques, on the other hand, do not use cement and instead rely on the natural bone to hold the artificial femur head in place.

Q: Which technique is better, cemented or uncemented?

A: The choice between cemented and uncemented techniques depends on individual patient factors, such as bone quality, age, and physical activity levels. Cemented techniques are often chosen for patients with better bone quality, while uncemented techniques are more recommended for patients with lower bone quality.

Q: How long does it take to recover from bipolar hemiarthroplasty surgery?

A: The recovery time for bipolar hemiarthroplasty surgery can vary depending on individual patient factors. However, most patients can expect to recover within 6-12 weeks.

Q: What are the long-term outcomes of bipolar hemiarthroplasty surgery?

A: The long-term outcomes of bipolar hemiarthroplasty surgery are generally good, with most patients experiencing improved mobility and reduced pain. However, there is a risk of dislocation and other complications.

Q: Can bipolar hemiarthroplasty surgery be performed on patients with osteoporosis?

A: Yes, bipolar hemiarthroplasty surgery can be performed on patients with osteoporosis. However, the choice of technique and the type of artificial femur head used may depend on the severity of the osteoporosis.

Q: Are there any alternative treatments for femur neck fractures?

A: Yes, there are alternative treatments for femur neck fractures, including internal fixation and osteosynthesis. However, bipolar hemiarthroplasty surgery is often the preferred treatment due to its improved outcomes and faster recovery times.

Q: How can I prepare for bipolar hemiarthroplasty surgery?

A: To prepare for bipolar hemiarthroplasty surgery, patients should follow a pre-operative regimen that includes stopping smoking, losing weight, and improving their overall health. Patients should also discuss any concerns or questions they have with their surgeon.

Q: What are the costs associated with bipolar hemiarthroplasty surgery?

A: The costs associated with bipolar hemiarthroplasty surgery can vary depending on individual patient factors and the location of the surgery. However, most patients can expect to pay between $10,000 to $50,000 for the surgery.

Q: Can I have bipolar hemiarthroplasty surgery if I have a pre-existing medical condition?

A: Yes, patients with pre-existing medical conditions can have bipolar hemiarthroplasty surgery. However, the choice of technique and the type of artificial femur head used may depend on the severity of the condition.

Q: How can I find a qualified surgeon to perform bipolar hemiarthroplasty surgery?

A: To find a qualified surgeon to perform bipolar hemiarthroplasty surgery, patients should research and interview several surgeons to find one who has experience with the procedure and has a good reputation. Patients should also check the surgeon's credentials and read reviews from other patients.