Khanuja, HarpalMekkawy, KevinMacMahon, AoifeMcDaniel, ClaireAllen, Donald A.Moskal, Joseph T.2024-01-182024-01-182022-06-010021-9355PMC996934800004623-202206010-00009 (PII)https://hdl.handle.net/10919/117398-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.Pages 1024-103310 page(s)application/pdfenIn CopyrightHip arthroplastyFemoral fixationHumansBone CementsArthroplasty, Replacement, HipReoperationRisk FactorsHip ProsthesisAgedFemaleArticle - Refereedhttps://doi.org/10.2106/JBJS.21.0085310411352984441535-1386