Background:

Partial hip replacement (cemented or uncemented) is the frequently done surgery in elderly patients with fracture neck of femur. Problems with cementing techniques are reported like increased infection rate and cardiac problems particularly in elderly patients with compromised cardiopulmonary reserve. Austin Moore prosthesis has its own complication like femoral loosening and frequent revision.

Material& Methods: We analysed results of 25 patients of fracture neck femur with Dorr type A and B proximal femoral morphology, treated by un–cemented partial hip replacement where double bone graft were used for additional stabilization.

Results: The mean follow up was 11 years. Prosthesis subsidence was found in un–cemented partial hip replacement with mean of 2.5 mm (range from 0 mm to 3.5 mm) which was well tolerated due to bone plugs formed around the tip and fenestrations of prosthesis except in one patient who had complained of thigh pain which required revision with cemented modular prosthesis subsequently.