Dr Atul Patil, Dr. Prashant Bhandari, Dr Shrikant Jadhav


Intracapsular fracture of the proximal femur account for a major share
of fractures in the elderly. The primary goal of treatment is to return the
patient to his or her pre-fracture functional status.(1)It has been
predicted that by 2050, the number of hip fractures would triple. As a
consequence, proximal femur fractures are a significant cause of
morbidity and mortality in all age group especially in the elderly.
Regardless of the age of the patient, or the fracture pattern, the primary
goal of fracture treatment is to return the patient to a pre-fracture level
of function.


nonunion osteonecrosis frequently internal fixation

Full Text:



SKS Marya,R Thukral and Chandeep Singh “Prosthetic replacement in femoral neck fracture in the

elderly: Results and review of the literature "Indian J Orthop,2008 Jan-Mar;42(1):61-67

Terry S.Canale, “hip fractures and dislocations", Campbell's Operative Orthopaedics ,11th edition

Cantu, Robert Victor “Unipolar versus bipolar Arthroplasty "Techniques in orthopaedics September

– Vol 19-Issue 3 – pp 138 – 142

Susan Standring. Grays Anatomy, Anatomy of hip joint , 39th edition, Elsevier Churchill


Louis Solomon, David Warwick and Selvadurai Nayagam, Apley‟s System of Orthopaedics and

Fractures, Femoral neck fracture,9th Edition

Garden RS. Low angle fixation in fractures of the femoral neck. J Bone Joint Surg 1961; 43B: 647–63.

Barnes R, Brown JT, Garden RS, et al. Subcapital fractures of the femur. A prospective review. J Bone

Joint Surg 1976; 58B: 2–24.

Bonnaire FA, Weber AT. The influence of haemarthrosis on the development of femoral head necrosis

following intracapsular femoral neck fractures. Injury 2002; 33 Suppl 3: C33–40.

Harper WM, Barnes MR, Gregg PJ. Femoral head blood flow in femoral neck fractures. An analysis

using intraosseous pressure measurement. J Bone Joint Surg 1991;73B: 73–5.

Masson M, Parker MJ, Fleischer S. Internal fixation versus arthroplasty for intracapsular proximal

femoral fractures in adults. Cochrane Database of Systematic Reviews 2003;(2):.

Kofoed, H. & Kofod, J. Moore prosthesis in the treatment of fresh femoral neck fractures: A critical

review with special attention to secondary acetabular degeneration. Injury, 1983; Vol.14, No.6, pp. 531-

Macaulay, W., Pagnotto, M. R., Iorio, R., Mont, M. A. & Saleh, K. J. Displaced femoral neck fractures

in the elderly: hemiarthroplasty versus total hip arthroplasty. Journal of the American Academy of

Orthopaedic Surgeons, 2006; Vol.14, No.5, pp. 287-293

Raia, F. J., Chapman, C. B., Herrera, M., Schweppe, M. W., Michelsen, C. B. & Rosenwasser, M.

P. Unipolar or bipolar hemiarthroplasty for femoral neck fractures in the elderly? Clinical Orthopaedics

and Related Research, :2003:Vol.414, No.9, pp. 259-265

Cornell, C. N., Levine, D., O'Doherty, J. & Lyden, J. Unipolar versus bipolar hemiarthroplasty for the

treatment of femoral neck fractures in the elderly. Clinical Orthopaedics and Related Research, 1998

;Vol.348, No.3:pp. 67-71

Parker, M. J. & Gurusamy, K. Arthroplasties (with and without bone cement) for proximal femoral

fractures in adults. Cochrane Database of Systematic Reviews,2004 ;Vol.2, CD001706

Giliberty, R. P. Hemiarthroplasty of the hip using low-friction bipolar endoprosthesis. Clinical

Orthopaedics and Related Research,1983; Vol.175, No.5 pp. 86-92

Keating JF, Grant A, Masson M, et al. Randomized comparison of reduction and fixation, bipolar

hemiarthroplasty, and total hip arthroplasty. Treatment of displaced intracapsular hip fractures in

healthy older patients. J Bone Joint Surg 2006; 88A: 249–60.

Healy, W. L. & Iorio, R. Total hip arthroplasty: Optimal treatment for displaced femoral neck

fractures in elderly patients. Clinical Orthopaedics and Related Research, 2004;Vol.429, No.12:pp. 43-48

Abboud, J. A., Patel, R. V., Booth Jr, R. E. & Nasarian, D. G. Outcomes of total hip arthroplasty are

similar for patients with displaced femoral neck fractures and osteoarthritis. Clinical Orthopaedics and

Related Research, 2004; Vol.421, No.4: pp. 151-154

Enocson, A., Hedbeck, C. J., Tidermark, J., Pettersson, H., Ponzer, S. & Lapidus, L. J. Dislocation of

total hip replacement in patients with fractures of the femoral neck: A prospective cohort study of 713

consecutive hips. Acta Ortopaedica, 2009;Vol.80, No.2:pp. 184-189.

Tarasevicius, S., Busevicius, M., Robertson, O. & Wingstrand, H. Dual mobility cup reduces

dislocation rate after arthroplasty for femoral neck fracture. BMC Musculoskeletal Disorders,2010;

Vol.6, No.11 pp. 175-178

Lee, B. P., Berry, D. J., Harmsen, W. S. & Sim, F. H. Total hip arthroplasty for the treatment of an

acute fracture of the femoral neck: Long-term results. Journal of Bone and Joint Surgery, American

Volume,1998; Vol.80, No.1: pp. 70-75

Gallo, J., Cechova, I. & Zapletalova, J. Early complications associated with total hip arthroplasty due

to femoral neck fracture. Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca, 2010;Vol.77,

No.5:pp. 389-394

Ames, J. B., Lurie, J. D., Tomek, I. M., Zhou, W. & Koval, K. J. Does surgeon volume for total hip

arthroplasty affect outcomes after hemiarthroplasty for femoral neck fracture? The American Journal of

Orthopedics (Belle Mead),2010; Vol.39, No.8: pp. E84-89

Leighton, R. K., Schmidt, A. H., Collier, P. & Trask, K. (2007) Advances in the treatment of

intracapsular hip fractures in the elderly. Injury,2007; Vol.38, No.S3, pp.S24-S34

Rutz, E., Leumann, A., Rutz, D., Schaefer, D. & Walderrabano, W. (2010) Total hip arthroplasty for

fractures of the proximal femur in older patients. Hip International,2010; Vol.20, No.2: pp. 215-220

Morsched, S., Bozic, K. J., Ries, M. D., Malchau, H. & Colford Jr., J. M. Comparison of cemented and

uncemented fixation in total hip replacement: a meta-analysis. Acta Orthopaedica, 2007; Vol.78, No.3:

pp. 315-326

Figved, W., Opland, V., Frihagen, F., Jervidalo, T., Madsen, J. E. & Nordsletten, L. Cemented versus

uncemented hemiarthroplasty for displaced femoral neck fractures. Clinical Orthopaedics and Related

Research, 2009 Vol.467, No.9: pp.2426-2435

Rogmark, C., Carlsson, A., Johnell, O. & Sernbo, I. A prospective randomised trial of internal fixation

versus arthroplasty for displaced fractures of the neck of the femur: Functional outcomes for 450

patients at two years. Journal of Bone and Joint Surgery, 2002; British Volume, Vol.84, No.2: pp. 183-188

Kyle, R. F.Subcapital fractures: In the bucket or on top of the neck? Orthopedics, 2010; Vol.33,


Schmidt, A. H., Leighton, R., Parvizi, J., Sems, A. & Berry, D. J. Optimal arthroplasty for femoral neck

fractures: Is total hip arthroplasty the answer? Journal of Orthopaedic Trauma, 2009;Vol.23, No.6:pp.


Marya SK, Thukral R, Hasan R, Tripathi M. Cementless bipolar hemiarthroplasty In femoral neck

fractures in elderly. Indian J Orthop 2011; 45:236-242.

Muller CA, Bayer J, Sezarzynski E, Sudlamp NP. Implantation of bipolar prosthesis for treatment of

medial femoral neck fracture in elderly. Zentralbl Chir 2008; 133(6): 580-586.

Agarwala S, Bhagwat A. Charnley Hasting bipolar modular replacement option for Intracapsular

fracture neck of femur. Indian J Ortho 2006; 40(3): 157-159.

Lu-Yao GI, Keller RB, Littenberg B, Wennberg JE. Outcomes after fractures of the femoral neck: A

meta analysis of one hundred and six published reports. J Bone Joint Surg 1994; 76(A): 15-25.

Sunny Bansal, Satish Jain, R.P. Singhal. Management of fracture neck of Femur with Bipolar

Arthroplasty. Int. J. Adv. Multidiscip. Res.2016; 3(4): 38-45.

Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by

mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am.


Marchetti P, Binazzi R, Vaccari V, Girolami M, Morici F, Impallomeni C, Commessatti M, Silvello L.

Long-term results with cementless Fitek (or Fitmore) cups. J Arthroplasty. 2005 Sep;20(6):730-7.

Johnell O, Kanis JA. an estimate of the worldwide prevalence, mortality and disability associated with

hip fracture. OsteoporosINt 2004; 15: 897 – 02

Young Y, German P, Brant L, Kenzora J, Magazine J.: The predictors of surgical procedure and the

effects on functional recovery in elderly with subcapital fractures. J Gerontol A BiolSci Med Sci. 1996


Keating J. Femoral neck fractures. In: Bucholz RW, Court-Brown CM, Heckman JD, Tornetta P.

Rockwood and Green‟s Fractures in Adults, 7thedition.Lippincott Williams and Wilkins: Philadelphia;


Parker MI, Pryor G, Gurusamy K. Cemented versus uncemented hemiarthroplasty for intracapsular

hip fractures a randomised controlled trial in 400 patients. J Bone & Joint Surgery Br 2010; 92(1):116-22.

Christie J, Burnett R, Potts HR, Pell AC. Echocardiography of transatrial embolism during cemented

and uncemented hemiarthroplasty of the hip. J Bone Joint Surg Br 1994, 76:409-12.

Tuteja SaneshV, Mansukhani Sameer A, Mukhi Shyamlal R, functional outcome with bipolar

hemiarthroplasty as against total hiparthroplasty in intracapsular fracture neck femur, Int J Med Res

Health Sci. 2014; 3(4): 945-953

Parker MJ, Gurusamy K; Arthroplasties (with and without bone cement) for proximal femoral

fractures in adults. Cochrane Database Syst Rev., 2006; 3: CD001706.

Rajendra Annappa, Dinesh KVN, NandLal Jhamaria and Pooja K Suresh, Cemented or uncemented

hemiarthroplasty for displaced intracapsular femoral neck fractures ,IJBAR (2014) 05 (09):432-434

TS raghvendra, BS JayakrIshna reddy, JIthuramJayaram,Management of Fracture Neck of Femur with

Cemented Bipolar Prosthesis ,Indian Journal of Clinical Practice, 2014 ;Vol. 24, No. 9, 867-871

Ram Kumar Ponraj, Senthilnathan Arumugam, Prabhakar Ramabadran, Functional Outcome of

Bipolar Hemiarthroplasty in Fracture Neck of Femur,Sch. J. App. Med. Sci., 2014; 2(5D):1785-1790


  • There are currently no refbacks.