Why the study?
Does a cemented or press fit bipolar prosthesis improve outcomes compared to a noncemented unipolar prosthesis in elderly patients with femoral neck fractures?
Population
270 patients, 65 years of age and older, who sustained a femoral neck fracture and underwent hemiarthroplasty
Comparison
Cemented or press fit bipolar prosthesis vs Noncemented unipolar prosthesis
Design
Cohort
Follow-up
minimum of 24 months
Authors
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Bipolar hemiarthroplasty was associated with better outcomes at higher cost; leaves open whether randomized trials should alter prosthesis selection in femoral neck fractures.
Does a cemented or press fit bipolar prosthesis improve outcomes compared to a noncemented unipolar prosthesis in elderly patients with femoral neck fractures?
In elderly patients with femoral neck fractures, bipolar hemiarthroplasty offers superior functional outcomes and pain relief compared to unipolar prostheses, albeit at a higher initial hospitalization cost.
Kenzora et al. (1998) studied this question.
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