Cemented hip hemiarthroplasty for a displaced femoral-neck fracture
Cemented hip hemiarthroplasty removes the fractured femoral head and inserts a cemented femoral stem and artificial head while preserving the natural acetabulum. It is an urgent surgical option for selected displaced intracapsular femoral-neck fractures.
Choosing hemiarthroplasty rather than internal fixation or total hip arthroplasty requires consideration of age, physiologic condition, pre-fracture activity and cognition, the fracture, and the acetabulum. Hemiarthroplasty replaces only the femoral side and leaves the natural acetabulum in place. Major risks include infection, thrombosis, dislocation, fracture, neurovascular injury, acetabular wear, further surgery, and cardiopulmonary reactions during cement implantation. The aim in the acute phase of an older person's hip fracture is to restore stability, reduce pain, and enable early mobility promptly, not merely to insert an implant. Delirium, nutrition, pressure injuries, osteoporosis, and recurrent-fall risk must be managed at the same time. The anesthesia and surgical teams must jointly reduce the risk of bone-cement implantation syndrome.
Quick Reference
Treatment
45 mins – 2.4 hours
Department
Orthopaedic Surgery
Who Is This For
Is Cemented hip hemiarthroplasty for a displaced femoral-neck fracture Right for You?
Good Candidates
- A displaced intracapsular femoral-neck fracture for which replacement is judged preferable to internal fixation, when pre-fracture function, cognition, or general health does not support total hip arthroplasty.
- Limited activity before the fracture or cognitive or systemic frailty, when the operative burden and functional goals of hemiarthroplasty fit better than those of total hip arthroplasty after a balanced comparison.
- A femoral head that cannot be preserved with no severe symptomatic degeneration requiring simultaneous replacement of the native acetabulum, when early surgery can be provided with multidisciplinary support.
May Not Be Suitable
- A nondisplaced or extracapsular fracture outside the usual scope of hemiarthroplasty.
- A young or physiologically young patient with a reasonable chance of preserving the femoral head through reduction and internal fixation.
- Good pre-fracture independent mobility, cognition, and general health, or severe symptomatic acetabular degeneration, when assessment indicates greater functional benefit from total hip arthroplasty.
Step-by-Step Process
How Cemented hip hemiarthroplasty for a displaced femoral-neck fracture Works
Complete the urgent multidisciplinary assessment
Confirm fracture type, side, and pre-fracture function; compare internal fixation, hemiarthroplasty, and total hip arthroplasty while optimizing correctable perioperative risks.
Replace the femoral head
Remove the fractured femoral head and neck, prepare the femoral canal, and fix the stem and artificial head with bone cement while preserving the native acetabulum.
Mobilize early
Provide analgesia and thrombosis and delirium prevention after surgery, and begin weight bearing, mobilization, and rehabilitation as soon as medically appropriate.
Link secondary prevention and ongoing care
Before discharge, assess osteoporosis, falls, nutrition, and cognition, and hand rehabilitation, medication, and follow-up plans to the patient, family, and next care setting.
This is urgent inpatient fracture care and must not be delayed for medical travel. A person with a suspected hip fracture should seek the nearest emergency department or local emergency service. Length of stay and rehabilitation depend on pre-fracture function, complications, and discharge support.
Cost Information
Cost Estimate for Cemented hip hemiarthroplasty for a displaced femoral-neck fracture
What's Included
Costs are quoted in Chinese yuan (RMB). For full self-payment without Chinese medical insurance, request a quote after specifying the cemented femoral stem, artificial head, and bone-cement system. Confirm whether the urgent preoperative assessment, surgery, anesthesia, ward, medicines, thromboprophylaxis, and early rehabilitation are included. Optimization of comorbidities, transfusion, intensive care, prolonged admission, and treatment of complications should be priced separately.
Before Your Visit
What to Prepare
Required Tests & Examinations
If you already have recent valid test results, bring the reports. If not, these assessments can usually be completed in China before the procedure.
Urgent hip imaging, neurovascular examination, and assessment of pre-fracture function and cognition, together with blood, cardiopulmonary, anticoagulation, infection, and anesthesia assessments without unnecessary delay.
Ask how the fall occurred and document previous walking ability and living arrangements; assess pressure injury, dehydration, delirium, other trauma, and neurovascular status of the injured limb.
Assess cardiopulmonary risk related to cement, anemia, anticoagulation, and reversible medical problems while avoiding unnecessary delay to surgery.
Documents & Materials to Bring
Required to Bring
Images and reports, medication and allergy list, previous surgery and implant records, and any culture or pathology results relevant to the current condition.
Information about pre-fracture cognition, use of walking aids, living arrangements, and care needs, including the functional baseline provided by family or caregivers.
Time of the last anticoagulant dose, cardiopulmonary history, earlier hip imaging, and the patient's advance-care preferences.
Companion & Support
A reliable adult should assist with admission, discharge, transport, medications, and early daily care; complex cases may need support for longer.
After Treatment
Recovery & Follow-Up
Early mobility, nutrition, pressure-injury and thrombosis prevention, delirium care, and continuous rehabilitation are as important as the implant.
Sudden breathlessness, chest pain, swelling of the injured limb, fever, drainage, a fall, or joint instability requires urgent medical care.
Overall recovery after hip fracture is often affected by pre-existing frailty and cognition. Persistent delirium, poor intake, or declining mobility also needs medical assessment rather than simply more exercise.
Follow-Up Schedule
During admission, continually assess pain, delirium, cardiopulmonary status, and mobility. After discharge, review the incision, weight bearing, and rehabilitation and complete falls and osteoporosis management.
Related Conditions
Conditions This Procedure Treats
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