Functional Outcomes Following Cemented Bipolar Hemiarthroplasty Versus Total Hip Arthroplasty for Displaced Femoral Neck Fractures in Older Adults: A Retrospective Cohort Study

Background: Older persons frequently sustain femoral neck fractures, which are linked to significant morbidity and functional loss. Although total hip arthroplasty (THA) and cemented bipolar hemiarthroplasty (CBH) are common treatment choices, there is ongoing debate regarding which is better. Methodology: The Department of Orthopaedics at Arif Memorial Teaching Hospital carried out a retrospective cohort analysis. Included were eighty patients 60 years of age or older who had either THA (n = 40) or CBH (n = 40). One year following surgery, the Modified Harris Hip Score was used to evaluate the functional result. The two groups were also compared in terms of postoperative recuperation, complications, patient satisfaction, and quality of life. Results: Except for body weight, which was considerably higher in the THA group (p = 0.044), the two groups' baseline clinical and demographic parameters were similar. Postoperative ambulation, discomfort, activities of daily living, return to normal activities, and components of the Modified Harris Hip Score did not differ significantly (all p > 0.05). The THA group experienced greater postoperative problems than the CBH group (17.5% vs. 5.0%), but this difference was not statistically significant (p = 0.154). Conclusion: Both CBH and THA provided satisfactory functional outcomes after surgery. No differences were noted in functional recovery between the two techniques, but CBH had a slightly lower but non-significant number of postoperative complications. This study proves the importance of personalized surgical approach according to the patient’s characteristics rather than a bias toward one technique.