Trauma Monthly

Published by: Kowsar

The Outcomes of Treating Femoral Neck Fractures Using Bipolar Hemiarthroplasty

Adel Ebrahimpour 1 , Reza Zandi 1 , Maryam Ayazi 1 , * and Farshad Safdari 2
Authors Information
1 Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
2 Bone Joint and Related Tissue Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
Article information
  • Trauma Monthly: January 2017, 22 (1); e61806
  • Published Online: August 17, 2016
  • Article Type: Research Article
  • Received: January 9, 2015
  • Revised: March 14, 2015
  • Accepted: April 6, 2015
  • DOI: 10.5812/traumamon.26831

To Cite: Ebrahimpour A, Zandi R, Ayazi M, Safdari F. The Outcomes of Treating Femoral Neck Fractures Using Bipolar Hemiarthroplasty, Trauma Mon. 2017 ; 22(1):e61806. doi: 10.5812/traumamon.26831.

Copyright © 2016, Trauma Monthly. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Methods
4. Results
5. Discussion
  • 1. Johnell O, Gullberg B, Allander E, Kanis JA, Medos Study Group . The apparent incidence of hip fracture in Europe: a study of national register sources. Osteoporos Int. 1992; 2(6): 298-302[PubMed]
  • 2. Dai Z, Li Y, Jiang D. Meta-analysis comparing arthroplasty with internal fixation for displaced femoral neck fracture in the elderly. J Surg Res. 2011; 165(1): 68-74[DOI][PubMed]
  • 3. Centers for Disease C. Fatalities and injuries from falls among older adults--United States, 1993-2003 and 2001-2005. MMWR Morb Mortal Wkly Rep. 2006; 55(45): 1221-4[PubMed]
  • 4. Moayyeri A, Soltani A, Larijani B, Naghavi M, Alaeddini F, Abolhassani F. Epidemiology of hip fracture in Iran: results from the Iranian Multicenter Study on Accidental Injuries. Osteoporos Int. 2006; 17(8): 1252-7[DOI][PubMed]
  • 5. Ahmadi-Abhari S, Moayyeri A, Abolhassani F. Burden of hip fracture in Iran. Calcif Tissue Int. 2007; 80(3): 147-53[DOI][PubMed]
  • 6. Abolhassani F, Moayyeri A, Naghavi M, Soltani A, Larijani B, Shalmani HT. Incidence and characteristics of falls leading to hip fracture in Iranian population. Bone. 2006; 39(2): 408-13[DOI][PubMed]
  • 7. Fractured neck of femur: prevention management. 1989;
  • 8. Chang Q, Liu S, Guan C, Yu F, Wu S, Jiang C. Bipolar hip arthroplasty. J Arthroplasty. 2011; 26(8): 1455-9[DOI][PubMed]
  • 9. Walter LC, Lui LY, Eng C, Covinsky KE. Risk of hip fracture in disabled community-living older adults. J Am Geriatr Soc. 2003; 51(1): 50-5[PubMed]
  • 10. Zuckerman JD. Hip fracture. N Engl J Med. 1996; 334(23): 1519-25[DOI][PubMed]
  • 11. Evans PJ, McGrory BJ. Fractures of the proximal femur. Hospital Physician. 2002; 38(4): 30-8
  • 12. van Balen R, Steyerberg EW, Polder JJ, Ribbers TL, Habbema JD, Cools HJ. Hip fracture in elderly patients: outcomes for function, quality of life, and type of residence. Clin Orthop Relat Res. 2001; (390): 232-43[PubMed]
  • 13. DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986; 7(3): 177-88[PubMed]
  • 14. Haentjens P, Autier P, Barette M, Boonen S, Belgian Hip Fracture Study G. Predictors of functional outcome following intracapsular hip fracture in elderly women. A one-year prospective cohort study. Injury. 2005; 36(7): 842-50[DOI][PubMed]
  • 15. Krastman P, van den Bent RP, Krijnen P, Schipper IB. Two cannulated hip screws for femoral neck fractures: treatment of choice or asking for trouble? Arch Orthop Trauma Surg. 2006; 126(5): 297-303[DOI][PubMed]
  • 16. Sendtner E, Renkawitz T, Kramny P, Wenzl M, Grifka J. Fractured neck of femur--internal fixation versus arthroplasty. Dtsch Arztebl Int. 2010; 107(23): 401-7[DOI][PubMed]
  • 17. Seyfettinoglu F, Ersan O, Kovalak E, Duygun F, Ozsar B, Ates Y. Fixation of femoral neck fractures with three screws: results and complications. Acta Orthop Traumatol Turc. 2011; 45(1): 6-13[DOI][PubMed]
  • 18. Ahn J, Man LX, Park S, Sodl JF, Esterhai JL. Systematic review of cemented and uncemented hemiarthroplasty outcomes for femoral neck fractures. Clin Orthop Relat Res. 2008; 466(10): 2513-8[DOI][PubMed]
  • 19. Zhang Y, Tian L, Yan Y, Sang H, Ma Z, Jie Q, et al. Biomechanical evaluation of the expansive cannulated screw for fixation of femoral neck fractures. Injury. 2011; 42(11): 1372-6[DOI][PubMed]
  • 20. Wang J, Jiang B, Marshall RJ, Zhang P. Arthroplasty or internal fixation for displaced femoral neck fractures: which is the optimal alternative for elderly patients? A meta-analysis. Int Orthop. 2009; 33(5): 1179-87[DOI][PubMed]
  • 21. Rogmark C, Flensburg L, Fredin H. Undisplaced femoral neck fractures--no problems? A consecutive study of 224 patients treated with internal fixation. Injury. 2009; 40(3): 274-6[DOI][PubMed]
  • 22. Enocson A, Hedbeck CJ, Tornkvist H, Tidermark J, Lapidus LJ. Unipolar versus bipolar Exeter hip hemiarthroplasty: a prospective cohort study on 830 consecutive hips in patients with femoral neck fractures. Int Orthop. 2012; 36(4): 711-7[DOI][PubMed]
  • 23. Ly TV, Swiontkowski MF. Management of femoral neck fractures in young adults. Indian J Orthop. 2008; 42(1): 3-12[DOI][PubMed]
  • 24. Miller CW. Survival and ambulation following hip fracture. J Bone Joint Surg Am. 1978; 60(7): 930-4[PubMed]
  • 25. Shah AK, Eissler J, Radomisli T. Algorithms for the treatment of femoral neck fractures. Clin Orthop Relat Res. 2002; (399): 28-34[PubMed]
  • 26. Bhattacharyya T, Iorio R, Healy WL. Rate of and risk factors for acute inpatient mortality after orthopaedic surgery. J Bone Joint Surg Am. 2002; 84-A(4): 562-72[PubMed]
  • 27. Center JR, Nguyen TV, Schneider D, Sambrook PN, Eisman JA. Mortality after all major types of osteoporotic fracture in men and women: an observational study. Lancet. 1999; 353(9156): 878-82[DOI][PubMed]
  • 28. Hamlet WP, Lieberman JR, Freedman EL, Dorey FJ, Fletcher A, Johnson EE. Influence of health status and the timing of surgery on mortality in hip fracture patients. Am J Orthop (Belle Mead NJ). 1997; 26(9): 621-7[PubMed]
  • 29. Macaulay W, Nellans KW, Iorio R, Garvin KL, Healy WL, Rosenwasser MP, et al. Total hip arthroplasty is less painful at 12 months compared with hemiarthroplasty in treatment of displaced femoral neck fracture. HSS J. 2008; 4(1): 48-54[DOI][PubMed]
  • 30. Altay MA, Erturk C, Isikan UE. [Bipolar hemiarthroplasty for the treatment of femoral neck fractures and the effect of surgical approach on functional results]. Eklem Hastalik Cerrahisi. 2010; 21(3): 136-41[PubMed]
  • 31. Bezwada HP, Shah AR, Harding SH, Baker J, Johanson NA, Mont MA. Cementless bipolar hemiarthroplasty for displaced femoral neck fractures in the elderly. J Arthroplasty. 2004; 19(7 Suppl 2): 73-7[PubMed]
  • 32. Rajak MK, Jha R, Kumar P, Thakur R. Bipolar hemiarthroplasty for intracapsular femoral neck fractures in elderly patients. J Orthop Surg (Hong Kong). 2013; 21(3): 313-6[PubMed]
  • 33. Unger AC, Dirksen B, Renken FG, Wilde E, Willkomm M, Schulz AP. Treatment of femoral neck fracture with a minimal invasive surgical approach for hemiarthroplasty - clinical and radiological results in 180 geriatric patients. Open Orthop J. 2014; 8: 225-31[DOI][PubMed]
  • 34. van den Bekerom MP, Sierevelt IN, Bonke H, Raaymakers EL. The natural history of the hemiarthroplasty for displaced intracapsular femoral neck fractures. Acta Orthop. 2013; 84(6): 555-60[DOI][PubMed]
  • 35. Schneppendahl J, Grassmann JP, Petrov V, Bottner F, Korbl B, Hakimi M, et al. Decreasing mortality after femoral neck fracture treated with bipolar hemiarthroplasty during the last twenty years. Int Orthop. 2012; 36(10): 2021-6[DOI][PubMed]
  • 36. Langslet E, Frihagen F, Opland V, Madsen JE, Nordsletten L, Figved W. Cemented versus uncemented hemiarthroplasty for displaced femoral neck fractures: 5-year followup of a randomized trial. Clin Orthop Relat Res. 2014; 472(4): 1291-9[DOI][PubMed]
  • 37. Ng ZD, Krishna L. Cemented versus cementless hemiarthroplasty for femoral neck fractures in the elderly. J Orthop Surg (Hong Kong). 2014; 22(2): 186-9[PubMed]
  • 38. Figved W, Opland V, Frihagen F, Jervidalo T, Madsen JE, Nordsletten L. Cemented versus uncemented hemiarthroplasty for displaced femoral neck fractures. Clin Orthop Relat Res. 2009; 467(9): 2426-35[DOI][PubMed]
  • 39. Stoffel KK, Nivbrant B, Headford J, Nicholls RL, Yates PJ. Does a bipolar hemiprosthesis offer advantages for elderly patients with neck of femur fracture? A clinical trial with 261 patients. ANZ J Surg. 2013; 83(4): 249-54[DOI][PubMed]
  • 40. Ayhan E, Kesmezacar H, Karaman O, Sahin A, Kir N. Bipolar or unipolar hemiarthroplasty after femoral neck fracture in the geriatric population. Balkan Med J. 2013; 30(4): 400-5[DOI][PubMed]
  • 41. Liu Y, Tao X, Wang P, Zhang Z, Zhang W, Qi Q. Meta-analysis of randomised controlled trials comparing unipolar with bipolar hemiarthroplasty for displaced femoral-neck fractures. Int Orthop. 2014; 38(8): 1691-6[DOI][PubMed]
  • 42. Inngul C, Hedbeck CJ, Blomfeldt R, Lapidus G, Ponzer S, Enocson A. Unipolar hemiarthroplasty versus bipolar hemiarthroplasty in patients with displaced femoral neck fractures: a four-year follow-up of a randomised controlled trial. Int Orthop. 2013; 37(12): 2457-64[DOI][PubMed]
  • 43. Bhandari M, Devereaux PJ, Swiontkowski MF, Tornetta P3, Obremskey W, Koval KJ, et al. Internal fixation compared with arthroplasty for displaced fractures of the femoral neck. A meta-analysis. J Bone Joint Surg Am. 2003; 85-A(9): 1673-81[PubMed]
  • 44. Nicolaides V, Galanakos S, Mavrogenis AF, Sakellariou VI, Papakostas I, Nikolopoulos CE, et al. Arthroplasty versus internal fixation for femoral neck fractures in the elderly. Strategies Trauma Limb Reconstr. 2011; 6(1): 7-12[DOI][PubMed]
  • 45. Stoen RO, Lofthus CM, Nordsletten L, Madsen JE, Frihagen F. Randomized trial of hemiarthroplasty versus internal fixation for femoral neck fractures: no differences at 6 years. Clin Orthop Relat Res. 2014; 472(1): 360-7[DOI][PubMed]
  • 46. Blomfeldt R, Tornkvist H, Eriksson K, Soderqvist A, Ponzer S, Tidermark J. A randomised controlled trial comparing bipolar hemiarthroplasty with total hip replacement for displaced intracapsular fractures of the femoral neck in elderly patients. J Bone Joint Surg Br. 2007; 89(2): 160-5[DOI][PubMed]
  • 47. Park KS, Oh CS, Yoon TR. Comparison of Minimally Invasive Total Hip Arthroplasty versus Conventional Hemiarthroplasty for Displaced Femoral Neck Fractures in Active Elderly Patients. Chonnam Med J. 2013; 49(2): 81-6[DOI][PubMed]
  • 48. Hedbeck CJ, Enocson A, Lapidus G, Blomfeldt R, Tornkvist H, Ponzer S, et al. Comparison of bipolar hemiarthroplasty with total hip arthroplasty for displaced femoral neck fractures: a concise four-year follow-up of a randomized trial. J Bone Joint Surg Am. 2011; 93(5): 445-50[DOI][PubMed]
  • 49. Verbeek DO, Ponsen KJ, Goslings JC, Heetveld MJ. Effect of surgical delay on outcome in hip fracture patients: a retrospective multivariate analysis of 192 patients. Int Orthop. 2008; 32(1): 13-8[DOI][PubMed]
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments