Hip hemi-arthroplasty for neck of femur fracture: What is the current evidence?

Core Tip

Core tip: From the current evidence on hip hemi-arthroplasty, the following conclusions can be drawn: posterior approaches are associated with higher rates of dislocation and should be avoided; there is no significant difference between unipolar and bipolar hemi-arthroplasty for surgical outcome, complication profile, functional outcome and long-term acetabular-erosion rates, therefore unipolar hemi-arthroplasty, the cheaper prosthesis, is the recommended option; cemented hemi-arthroplasty, the recommended option, has lower rates of implant-related complications and residual thigh pain compared to uncemented hemi-arthroplasty, with no significant difference in medical complications or mortality; there is no significant difference in wound-infections rates or healing outcomes between staples and sutures.