The bateman universal proximal femoral assembly: experiences with 80 cases

The Bateman Universal Proximal Femoral Assembly has been used primarily in the treatment of subcapital fractures of the femoral head when the acetabulum was judged to be adequate. The indications for this procedure are the same as for a standard hemiarthroplasty. A contraindication against its use is a severe neurologic disorder that might compromise the postoperative management. Its use in other than acute fracture cases is recommended only for special situations. This article discusses the approach, closure, technique of assembly, technique of judging stability, use of cement, problem of adventitious bone, stem type, replacements, and dislocations associated with the use of this appliance. The device is not a substitute for a total hip, but has certain theoretical advantages as an alternative to a hemiarthroplasty of conventional design.