Unipolar, Bipolar or Total Hip Endoprosthesis after Femoral Neck Fracture: What is a Right Decision?

Received: 27. 02. 2006. Accepted: 08. 06. 2006. The aim of this study �as to recognize differences in midterm clinical outcome after femoral neck fracture and hip endoprosthesis implantation. A total of 145 patients �ere examined, 32 patients �ith unipolar, 70 �ith bipolar and 43 patients �ith total hip endoprosthesis. The mean values of Harris Hip Score, after 3.8 ± 1.9 years, �ere: 72.1 ± 17.8, 74.27 ± 19.1, 78.2 ± 22.5 for patients �ith unipolar, bipolar and total hip endoprosthesis, respectively. No statistically significant difference �as observed (p = 0.704). The in-hospital mortality rates �ere: 4.3%, 4.6%, and 5.3% for groups of patients �ith bipolar, unipolar and total hip endoprosthesis, respectively. Considering clinical outcomes, general health and costs, it can be concluded that the choice of endoprosthesis does not pose an obstacle to a patient’s recovery.