Cemented Bipolar Hemiarthroplasty in Chronic Kidney Disease Patients with Femoral Neck Fractures: Current Evidence and Clinical Outcomes

Abstract

Background: Chronic kidney disease (CKD) is a progressive condition associated with reduced bone density, decreased bone turnover, muscle weakness, and increased risk of fractures. Femoral neck fractures in CKD patients represent a major clinical problem because of poor bone quality, renal osteodystrophy, dialysis-related complications, and increased perioperative morbidity and mortality. Cemented bipolar hemiarthroplasty is commonly used in these patients because it provides immediate mechanical stability, allows early mobilization, and does not depend mainly on biological osseointegration. The aim of this review was to discuss the role of cemented bipolar hemiarthroplasty in the management of femoral neck fractures in patients with chronic kidney disease, with emphasis on current evidence, functional outcomes, postoperative complications, and clinical considerations.

Conclusion: Cemented bipolar hemiarthroplasty appears to be an effective treatment option for femoral neck fractures in patients with chronic kidney disease. It provides good functional improvement, pain relief, early mobilization, and acceptable clinical and radiological outcomes. Despite the high-risk nature of this patient population, careful preoperative assessment, proper surgical technique, multidisciplinary management, and close postoperative follow-up may help reduce complications and improve quality of life. Further studies with larger sample sizes and longer follow-up periods are needed to confirm long-term outcomes.