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January 9, 2026Journal of Clinical MedicineOpen Access

Cementless bipolar hemiarthroplasty led to earlier mobilization compared to proximal femoral nailing (1 vs. 3 days, p < 0.001) despite higher blood loss and transfusion needs.

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Key result

Cementless bipolar hemiarthroplasty led to earlier mobilization compared to proximal femoral nailing (1 vs. 3 days, p < 0.001) despite higher blood loss and transfusion needs.

Authors

YPYusuf PolatTKTolga KeçeciMAMurat Alparslan

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Overview

Retrospective study compares outcomes of cementless hemiarthroplasty and nailing for hip fractures in the elderly, suggesting individualized treatment approaches.

Key Points

  • The aim is to compare clinical outcomes of cementless bipolar hemiarthroplasty and proximal femoral nailing for unstable intertrochanteric fractures in the elderly.
  • Retrospective review of 131 patients aged ≥70 years with unstable intertrochanteric fractures.
  • Comparison between cementless bipolar hemiarthroplasty and proximal femoral nailing.
  • Analysis of demographics, perioperative variables, complications, and mortality rates.
  • Higher intraoperative blood loss and transfusion rates in the BHA group (p < 0.001).
  • Earlier mobilization observed with BHA (1 vs. 3 days; p < 0.001).
  • PFN had higher mechanical complications and revision rates (17.9% vs. 4.7%; p = 0.018).
  • No significant differences in operative time, hospital stay, or mortality rates.

Cite This Study

Polat et al. (2025) studied this question. Cementless bipolar hemiarthroplasty led to earlier mobilization compared to proximal femoral nailing (1 vs. 3 days, p < 0.001) despite higher blood loss and transfusion needs.

synapsesocial.com/papers/69612fe430ef6c21f6853f22https://doi.org/10.3390/jcm15010151
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