Hip hemiarthroplasty replaces only the femoral head with a prosthetic component while preserving the native acetabular socket, most commonly performed after femoral neck fractures.
Primarily indicated for displaced femoral neck fractures in older patients where healing of the native bone is unlikely. It restores mobility and reduces pain more reliably than internal fixation in this population.
Performed under spinal or general anesthesia, typically taking 1 to 1.5 hours. The damaged femoral head is removed and replaced with a prosthetic stem and head. Mobilization begins within 24 hours of surgery.
Risks include dislocation, infection, blood clots, acetabular erosion over time, nerve injury, and leg length discrepancy.
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