{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T12:33:01Z","timestamp":1787142781289,"version":"build-2736575974"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 1","license":[{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Femoral neck fractures in the elderly are a significant health concern, particularly in low-income settings where total hip arthroplasty may not be feasible. Bipolar hemiarthroplasty is a preferred treatment, but the absence of a supportive calcar can compromise implant stability, leading to complications such as subsidence and periprosthetic fractures. This study evaluates the efficacy of calcar reconstruction using an autologous bone graft in geriatric patients undergoing bipolar hemiarthroplasty. A prospective case series was conducted on 20 patients (aged &gt; 65 years) with displaced femoral neck fractures. During bipolar hemiarthroplasty, the calcar was reconstructed using an autologous femoral head graft. Functional and radiological outcomes were assessed at 6 and 12 months postoperatively using the Harris Hip Score (HHS) and implant stability parameters. At 6 months, the mean HHS was 85.2 \u00b1 7.1, improving to 89.4 \u00b1 6.3 at 12 months. Only one case (5%) of implant subsidence (&gt;3 mm) was noted. There were no dislocations, and 80% of patients regained independent ambulation within 6 months. Calcar reconstruction with an autologous bone graft improves implant stability, enhances functional recovery, and reduces complications, making it a cost-effective alternative in resource-limited settings..<\/jats:p>","DOI":"10.4103\/aam.aam_504_25","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T15:00:29Z","timestamp":1769180429000},"page":"S81-S86","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Efficacy of Calcar Reconstruction using Autologous Bone Graft in Bipolar Hemiarthroplasty for Geriatric Patients: A Case Series of 20 Patients in a Low-income Setting"],"prefix":"10.4103","volume":"25","author":[{"given":"Swaroop","family":"Solunke","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashwin","family":"Deshmukh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhijit","family":"More","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"Nair","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Urva","family":"Dholu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Archit","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"key":"R1-20260819","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1007\/s00590-011-0870-2","article-title":"Role of hemiarthroplasty in intertrochanteric fractures in elderly osteoporotic patients: A case series","volume":"22","author":"Siwach","year":"2012","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"R2-20260819","first-page":"92","article-title":"Prospective study of hemiarthroplasty for intrascapular fracture of femur using modular bipolar prosthesis","volume":"4","author":"Kumar","year":"2018","journal-title":"ProQuest"},{"key":"R3-20260819","first-page":"141","article-title":"Functional analysis of cemented bipolar hemiarthroplasty with medial calcar augmentation for unstable intertrochanteric fractures in elderly","volume":"4","author":"Sivabalan","year":"2018","journal-title":"Int J Orthop"},{"key":"R4-20260819","first-page":"319","article-title":"\u201cFunctional outcome of unstable intertrochanteric femur fracture in elderly osteoporotic patients treated by primary cemented bipolar hemiarthroplasty versus internal fixation with proximal femoral nailing.\u201d","volume":"3","author":"Prasad","year":"2017","journal-title":"International Journal of Orthopaedics Sciences"},{"key":"R5-20260819","doi-asserted-by":"crossref","first-page":"81","DOI":"10.4103\/1597-1112.154930","article-title":"\u201cUnstable intertrochanteric fracture in elderly treated with bipolar hemiarthroplasty: A prospective case series.\u201d","volume":"3","author":"Puttakemparaju","year":"2014","journal-title":"African Journal of Trauma"},{"key":"R6-20260819","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1186\/1752-1947-7-223","article-title":"The CARE guidelines: Consensus-based clinical case reporting guideline development","volume":"7","author":"Gagnier","year":"2013","journal-title":"J Med Case Rep"},{"key":"R7-20260819","article-title":"A prospective study of surgical management of fracture neck femur by bipolar prosthesis in elderly","author":"Mandal","year":"2019","journal-title":"ProQuest"},{"key":"R8-20260819","doi-asserted-by":"crossref","first-page":"687","DOI":"10.22271\/ortho.2021.v7.i4j.2952","article-title":"Study of functional outcome of cemented modular bipolar hemiarthroplasty in intracapsular fracture neck femur in elderly","volume":"7","author":"Kn","year":"2021","journal-title":"Int J Orthop Sci"},{"key":"R9-20260819","doi-asserted-by":"crossref","first-page":"1897","DOI":"10.18203\/2320-6012.ijrms20161443","article-title":"Randomized controlled analysis-autogenous bone peg graft improved offset hemiarthroplasty in high risk patients: A novel cost effective technique","volume":"4","author":"Varma","year":"2016","journal-title":"Int J Res Med Sci"},{"key":"R10-20260819","doi-asserted-by":"crossref","first-page":"3512","DOI":"10.18410\/jebmh\/2017\/700","article-title":"Study of surgical management of fracture neck of femur in adults with bipolar Hemi arthroplasty","volume":"4","author":"Vijayamohan","year":"2017","journal-title":"J Evid Based Med Healthc"},{"key":"R11-20260819","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1016\/j.arth.2004.04.017","article-title":"Cemented hip arthroplasty with a novel cerclage cable technique for unstable intertrochanteric hip fractures","volume":"20","author":"Grimsrud","year":"2005","journal-title":"J Arthroplasty"},{"key":"R12-20260819","first-page":"162","article-title":"Primary hemiarthroplasty for unstable intertrochanteric fractures in octogenarian patients with multiple medical ailments","volume":"1","author":"Sirohi","year":"2023","journal-title":"Int J Trop Med"},{"key":"R13-20260819","doi-asserted-by":"crossref","first-page":"5701","DOI":"10.14260\/jemds\/2016\/1286","article-title":"Calcar reconstruction in bipolar hemiarthroplasty in elderly patients","volume":"5","author":"Kadam","year":"2016","journal-title":"J Evol Med Dent Sci"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_504_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T12:01:34Z","timestamp":1787140894000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_504_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,22]]},"references-count":13,"journal-issue":{"issue":"Suppl 1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_504_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,22]]},"assertion":[{"value":"2025-09-07","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-21","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}