Challenge of the Week / Hip / 04.24.20
Japanese male businessman who suffers back pain from working from home
| When performing a hip hemiarthroplasty to treat a displaced subcapital femoral neck fracture in an elderly patient, the use of a cemented stem: |
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- 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.
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- 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.
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- Reduces the risk of mortality when compared to a cementless stem.
Cementless stems have a higher rate of subsidence compared with cemented hemiarthroplasty stems.
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- 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.
