Osteoporotic fragility incidence of fractures continues to increase along with an aging global 
population. Decision making for Selecting adequate treatment is very important to avoid 
complications hip fractures, including femur neck fractures, may lead to complications such 
as chronic pain, disability, low quality of life, high morbidity and mortality rates, and other. 
In this retrospective comparative study of 20 cases of BHA (10 cemented, 10 cementless) 
done in Minia University Hospital form 2017 to 2019 confirmed the following: 1- No fixed 
preoperative guidelines to be followed for all cases in spite of preoperative planning either 
clinical or radiological. Intraoperative decision either cemented or cementless is mandatory.
2- Time to surgery and duration of operation are important to minimize postoperative 
complications. 3- Lateral approach was used in all cases using the implant from the same 
company. Follow up of the cases (average 11 months): Functional using Harris Hip Score 
(cemented 77, cementless 72) Pain assessment using VAS (cemented 2.4, cementless 3.2).
Radiological assessment (1 cementless case with vertical subsidence more than 5 mm). 
Complications (one cemented case developed infection and cured, one cemented case 
developed pulmonary embolism and treated and one cementless case developed inguinal and 
thigh pain). Discussion of our results were described and analysis of all criteria was done 
comparing cemented and cementless group. Comparison between our results and other 
schools of medicine (Swedish, Korean, Turkish ) was done and it was comparable except in 
the following (no periprosthtic fractures in our study, VAS was high in Korean group, no 
infection in Swedish group).