A prospective study in surgical management of neck of femur fracture using cementless modular bipolar prosthesis

Abstract

Hip fractures are one of the most common injuries, mainly seen in the elderly in the emergency setting. It can also be seen in young patients like athletes or one who met with a high energy trauma. The objective of treatment of NOF fractures in mobile elderly population is early restoration of pre-morbid walking ability and quality of life. The modular prosthesis allows adjustment of neck length with interchangeable stems. It can be converted to a total hip replacement easily because only the acetabular component is added. Cemented prostheses are associated with increased incidence of peri-operative morbidity like hemodynamic instability, deep vein thrombosis, cardiopulmonary complications, etc and mortality. Cementless stems do not lead to such complications and therefore no chance of so-called ‘cement reaction’ or bone cement implantation syndrome (BCIS).