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June 13, 2026Journal of Orthopaedic Case ReportsOpen Access

Cemented versus Uncemented Hemiarthroplasty in Femoral Neck Fractures: A Comparative Case Series Using Singh Index for Surgical Decision-Making

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Authors

SJSagar A. JawaleSGSantosh D. GhotiSFSaurabh G. Fate

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Overview

Retrospective case series evaluates fixation choice using Singh index in high-risk elderly patients.

Key Points

  • This study aims to evaluate the effectiveness of the Singh index in selecting fixation types for hemiarthroplasty in elderly patients with femoral neck fractures.
  • Retrospective comparative case series including 18 elderly patients with displaced femoral neck fractures.
  • Patients stratified based on Singh index scores, guiding the choice between cemented and uncemented fixation.
  • Functional outcomes assessed using the Harris Hip Score at a mean follow-up of 6 months.
  • Pre-operative decision-making based on Singh index correlated with intraoperative findings in 16 out of 18 cases (88.9%).
  • The mean Harris Hip Score was 82.4 for the uncemented group and 78.6 for the cemented group.
  • No cases of bone cement implantation syndrome were observed in the uncemented group, indicating a safer fixation choice.

Cite This Study

Jawale et al. (2026) studied this question.

synapsesocial.com/papers/6a2cf2a9faef96ed7f055627https://doi.org/10.13107/jocr.2026.v16.i06.7376
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cemented vs. Uncemented Hemiarthroplasty for Displaced Femoral NeckFractures: A Prospective Comparative Analysis of Clinical and FunctionalOutcomes2025
  2. 2Cemented versus uncemented hemiarthroplasty of hip for displaced neck of femur fractures: A prospective comparative study2022 · 1 citations
  3. 3The Impact of Fixation Method and Surgical Approach on Outcomes Following Hip Hemiarthroplasty for Femoral Neck Fracture2026
  4. 4A comparative study between cemented and un-cemented hemiarthroplasty management of fracture neck of femur in elderly patients2022 · 1 citations
  5. 5Comparison of functional outcomes between cemented and uncemented bipolar hemiarthroplasty for intracapsular neck femur fractures2020