Cementless Hemiarthroplasty for a Femoral Neck Fracture in a 93-Year-Old Female Patient: A Case Report

Displaced femoral neck fractures are prevalent in the elderly, necessitating surgical intervention to restore function and mobility. Hemiarthroplasty, available in both cemented and cementless forms, is a common treatment. While cemented hemiarthroplasty is traditionally preferred, cementless options are gaining attention for their potential advantages, including reduced operative time, decreased blood loss, and preservation of bone stock for future revisions. This case report details the successful application of cementless hemiarthroplasty in a 93-year-old female with a displaced femoral neck fracture, underscoring its feasibility and potential benefits in the very elderly. The patient, with multiple comorbidities including hypertension, cerebrovascular accident, osteoarthritis, dementia, chronic kidney disease, diabetes mellitus, osteoporosis, and limited mobility, presented with left hip pain following a fall. Radiographs confirmed a displaced femoral neck fracture. Cementless hemiarthroplasty was performed using the lateral Harding approach, achieving stable fixation without cement. Postoperative care involves standard pain management, early mobilization, and monitoring for complications. This case highlights the potential benefits of cementless hemiarthroplasty, such as reduced operative time and decreased risk of cement-related complications, particularly in elderly patients with good bone quality. The successful outcome, characterized by stable fixation and absence of intraoperative or early postoperative complications, emphasizes the importance of individualized patient assessment and tailored surgical approaches. Further research is needed to refine guidelines and expand the evidence base for the use of cementless techniques in this demographic.