Challenge of the Week / Hip / 04.24.20

When performing a hip hemiarthroplasty to treat a displaced subcapital femoral neck fracture in an elderly patient, the use of a cemented stem:
  • Is equivalent to cementless stem in regard to intraoperative or postoperative fracture.
  • Cemented hip hemiarthroplasty is associated with a decreased risk of periprosthetic fracture when compared with cementless hemiarthroplasty.

  • Results in a higher rate of subsidence when compared to a cementless stem.
  • There is no clear evidence that there is a difference in overall mortality when comparing cemented and cementless stems for hip hemiarthroplasty.

  • Reduces the risk of mortality when compared to a cementless stem.
  • Cementless stems have a higher rate of subsidence compared with cemented hemiarthroplasty stems.

  • Is associated with a 10-fold lower risk of intraoperative or postoperative fracture.
  • Cemented hip hemiarthroplasty is associated with a decreased risk of periprosthetic fracture when compared with cementless hemiarthroplasty.

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