{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T15:28:35Z","timestamp":1781018915878,"version":"3.54.1"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Femoral neck fractures in elderly patients require careful consideration of both bone quality and perioperative risk when selecting between cemented and uncemented hemiarthroplasty. The Singh index provides a simple radiographic assessment of trabecular bone quality. This study evaluates its utility in guiding fixation type selection in high-risk patients.\n\nMaterials and Methods: This retrospective comparative case series included 18 elderly patients with displaced femoral neck fractures treated with hemiarthroplasty. Patients were stratified based on the Singh index, with those who had a score of \u22654 undergoing uncemented fixation and those with a score &lt;4 undergoing cemented fixation. All patients were classified as American Society of Anaesthesiologists Grade III or IV. Functional outcomes were assessed using the Harris Hip Score at follow-up.\n\nResults: Pre-operative decision-making based on Singh index correlated with intraoperative findings in 16 out of 18 cases (88.9%). In two cases, intraoperative assessment necessitated a change from uncemented to cemented fixation due to poor bone quality. At a mean follow-up of 6 months, the mean Harris Hip Score was 82.4 in the uncemented group and 78.6 in the cemented group. No cases of bone cement implantation syndrome were observed in the uncemented group, supporting safer fixation selection in high-risk patients.\n\nConclusion: The Singh index is a useful and practical tool for guiding fixation choice in hemiarthroplasty. In high-risk patients with adequate bone quality, uncemented fixation provides satisfactory functional outcomes while avoiding cement-related complications.\n\nKeywords: Femoral neck fracture, hemiarthroplasty, Singh index, bone cement implantation syndrome, American Society of Anaesthesiologists grade, uncemented fixation.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i06.7376","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T14:35:50Z","timestamp":1781015750000},"page":"37-41","source":"Crossref","is-referenced-by-count":0,"title":["Cemented versus Uncemented Hemiarthroplasty in Femoral Neck Fractures: A Comparative Case Series Using Singh Index for Surgical Decision-Making"],"prefix":"10.13107","volume":"16","author":[{"given":"Sagar A.","family":"Jawale","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santosh D.","family":"Ghoti","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saurabh G.","family":"Fate","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaideep","family":"Das","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gyanprasad","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priyanka","family":"Meena","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T14:35:51Z","timestamp":1781015751000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/06\/cemented-versus-uncemented-hemiarthroplasty-in-femoral-neck-fractures-a-comparative-case-series-using-singh-index-for-surgical-decision-making\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i06.7376","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}