Results of cementless and cemented bipolar hemiarthroplasty in proximal femur fractures with Dorr type B morphology

Surgical outcomes of patients with Dorr type B femoral morphology operated for hip fracture with bipolar hemiarthroplasty were compared. Materials and Methods: This retrospective study included 255 patients with a follow-up of at least five years. Patients were divided into two groups: cementless (group 1; n=87) and cemented (group 2; n=168). The study focused on the following parameters: Admission cost, fracture type, gender, need for blood transfusion, Harris Hip Score (HHS), additional fracture, use of cement, mortality rate, revision surgery, the time between trauma and surgery, length of hospital stays, and surgery time. Results: The mean age of patients was similar in both groups. Group 2 had a significantly longer duration of surgery and a higher need for blood transfusions than group 1. The mean hemoglobin levels of patients were similar in both groups. Pertrochanteric femoral fractures were more common than femoral neck fractures in group 2. The two groups did not differ on the parameters of time between trauma and surgery, mortality rate, revision surgery, length of hospital stay, cost, and additional fractures. Conclusion: In patients aged 75 years or older who are scheduled for cemented bipolar hemiarthroplasty, erythrocyte suspension preparation should be performed before surgery if a hip fracture with Dorr type B femoral morphology is present.