Functional outcome of cemented versus uncemented hemiarthroplasty for intracapsular hip fractures

ABSTRACT

To determine the functional outcome of cemented versus uncementedhemiarthroplasty in displaced intracapsular fractures of the hip. Randomized control trial. This study was carried out at the Orthopaedics Department, Shaikh Zayed Hospital Lahore and Ibn e Siena Hospital and Research Institute Multan from August 2010 to August 2013. 1 10 patients with hip fractures fulfilling the criteria were included,55 patients in each group were randomized. Patients in group A were having cemented hemiarthroplasty and in group B were having uncementedhemiarthroplasty respectively. After surgery all patients were mobilized as soon as they were able. All patients were reviewed at 12 weeks follow up using a pain scale of one to six and a mobility scale of zero to nine. In group A, the preoperative mean pain score was 5.91 +/- 0.29 and postoperative mean residual pain score at 12 weeks was 2.73 +/- 0.45. In group B, the preoperative mean pain score was 5.91 +/- 0.29 and postoperative mean residual pain score at 12 weeks was 3.00 +/- 0.64. P value of 0.000 was significant in the favor of cemented hemiarthroplasty. In group A, the preoperative [before fracture] mean mobility score was 7.20 +/- 0.75 and postoperative mean reduction in mobility score at 12 weeks was 2.80 +/- 0.76. In group B, the preoperative [before fracture] mean mobility score was 7.20 +/- 0.75 and postoperative mean reduction in mobility score at 12 weeks was 3.20 +/- 0.76. P value Of 0.000 was significant in the favor of cemented hemiarthroplasty. The use of cemented hemiarthroplasty lead to less pain in the hip and improved return of mobility as compared to an uncemented prosthesis