Revisiting Cemented Femoral Fixation in Hip Arthroplasty

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dc.contributor.authorKhanuja, Harpalen
dc.contributor.authorMekkawy, Kevinen
dc.contributor.authorMacMahon, Aoifeen
dc.contributor.authorMcDaniel, Claireen
dc.contributor.authorAllen, Donald A.en
dc.contributor.authorMoskal, Joseph T.en
dc.date.accessioned2024-01-18T20:12:27Zen
dc.date.available2024-01-18T20:12:27Zen
dc.date.issued2022-06-01en
dc.description.abstract-The primary means of femoral fixation in North America is cementless, and its use is increasing worldwide, despite registry data and recent studies showing a higher risk of periprosthetic fracture and early revision in elderly patients managed with such fixation than in those who have cemented femoral fixation. -Cemented femoral stems have excellent long-term outcomes and a continued role, particularly in elderly patients. -Contrary to historical concerns, recent studies have not shown an increased risk of death with cemented femoral fixation. -The choice of femoral fixation method should be determined by the patient's age, comorbidities, and bone quality. -We recommend considering cemented femoral fixation in patients who are >70 years old (particularly women), in those with Dorr type-C bone or a history of osteoporosis or fragility fractures, or when intraoperative broach stability cannot be obtained.en
dc.description.versionAccepted versionen
dc.format.extentPages 1024-1033en
dc.format.extent10 page(s)en
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.2106/JBJS.21.00853en
dc.identifier.eissn1535-1386en
dc.identifier.issn0021-9355en
dc.identifier.issue11en
dc.identifier.otherPMC9969348en
dc.identifier.other00004623-202206010-00009 (PII)en
dc.identifier.pmid35298444en
dc.identifier.urihttps://hdl.handle.net/10919/117398en
dc.identifier.volume104en
dc.language.isoenen
dc.publisherLippincott, Williams & Wilkinsen
dc.relation.urihttps://www.ncbi.nlm.nih.gov/pubmed/35298444en
dc.rightsIn Copyrighten
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en
dc.subjectHip arthroplastyen
dc.subjectFemoral fixationen
dc.subject.meshHumansen
dc.subject.meshBone Cementsen
dc.subject.meshArthroplasty, Replacement, Hipen
dc.subject.meshReoperationen
dc.subject.meshRisk Factorsen
dc.subject.meshHip Prosthesisen
dc.subject.meshAgeden
dc.subject.meshFemaleen
dc.titleRevisiting Cemented Femoral Fixation in Hip Arthroplastyen
dc.title.serialJournal of Bone and Joint Surgeryen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherArticleen
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Orthopedicen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Orthopedic/General Orthopedicsen

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