CEMENTED COMPARED WITH UNCEMENTED FEMORAL FIXATION IN THE ARTHROPLASTY TREATMENT OF DISPLACED FEMORAL NECK FRACTURES

Cemented and uncemented stems have both been successfully employed in the arthroplasty treatment of displaced femoral neck fractures; however, further elucidation of the advantage of cemented fixation is warranted. Individual patient characteristics including bone quality, comorbidity profile, goals, expectations, and pre-injury functional status must be considered to guide treatment choices. Cemented stems may be preferable to cementless stems in the arthroplasty treatment of displaced femoral neck fractures (especially in elderly osteopenic bone) as demonstrated by greater improvements in quality of life, better short-term survivorship, and lower risk of periprosthetic fractures.