What Are the Differences between Multiple Screw Fixation and Bipolar Hemiarthroplasty for Displaced Femoral Neck Fracture?: A Twenty-Year Study from Tertiary Referral Hospital

Key Points

• The aim is to compare the effectiveness and outcomes of multiple screw fixation and bipolar hemiarthroplasty for treating displaced femoral neck fractures.
• Conducted a twenty-year study at a tertiary referral hospital
• Analyzed outcomes related to mortality, surgery time, and blood loss
• Focused on the challenges of surgical decision-making based on patient characteristics.
• No significant difference in mortality rates between the two surgical techniques at one and five years
• Multiple screw fixation showed advantages like shorter surgery time and less blood loss
• Bipolar hemiarthroplasty had benefits such as reduced hospitalization duration.