Cementing Without Trialing is Safe and Efficient for Hip Hemiarthroplasty
Displaced femoral neck fractures most commonly occur in elderly patients as the result of low energy injuries. Surgical interventions for these fractures have included either bipolar or unipolar hip hemiarthroplasty. Furthermore, these procedures may be performed with either cemented or cementless i...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-06-01
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| Series: | Arthroplasty Today |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344125000901 |
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| author | Hari P. Bezwada, MD Dilan Prasad, BS Carter Levine, BS |
| author_facet | Hari P. Bezwada, MD Dilan Prasad, BS Carter Levine, BS |
| author_sort | Hari P. Bezwada, MD |
| collection | DOAJ |
| description | Displaced femoral neck fractures most commonly occur in elderly patients as the result of low energy injuries. Surgical interventions for these fractures have included either bipolar or unipolar hip hemiarthroplasty. Furthermore, these procedures may be performed with either cemented or cementless implants. Despite compelling data suggesting lower reoperation rates and better outcomes with cemented implants, many surgeons still use cementless implants in these elderly patients according to registry data from the American Joint Replacement Registry. Additionally, the direct anterior approach has become increasingly popular as a surgical approach for hip arthroplasty. We describe an efficient surgical technique for cemented hemiarthroplasty via the direct anterior approach. In this technique, head trialing is only done after the stem is cemented, thereby reducing the risks of intraoperative fracture to an already osteoporotic bone. |
| format | Article |
| id | doaj-art-bd7cbbdae2b847538df09b1d0cacb95b |
| institution | Kabale University |
| issn | 2352-3441 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj-art-bd7cbbdae2b847538df09b1d0cacb95b2025-08-20T03:32:19ZengElsevierArthroplasty Today2352-34412025-06-013310170310.1016/j.artd.2025.101703Cementing Without Trialing is Safe and Efficient for Hip HemiarthroplastyHari P. Bezwada, MD0Dilan Prasad, BS1Carter Levine, BS2Princeton Orthopaedic Associates, Penn Medicine-Princeton Medical Center, Plainsboro, NJ; Corresponding author. Princeton Orthopaedic Associates, 325 Princeton Avenue, Princeton, NJ 08540. Tel.: +1 609 924 8131; Tel.: +1 215 205 1978.Temple University School of Medicine, Philadelphia, PAUniversity of Rochester School of Medicine, Rochester, NYDisplaced femoral neck fractures most commonly occur in elderly patients as the result of low energy injuries. Surgical interventions for these fractures have included either bipolar or unipolar hip hemiarthroplasty. Furthermore, these procedures may be performed with either cemented or cementless implants. Despite compelling data suggesting lower reoperation rates and better outcomes with cemented implants, many surgeons still use cementless implants in these elderly patients according to registry data from the American Joint Replacement Registry. Additionally, the direct anterior approach has become increasingly popular as a surgical approach for hip arthroplasty. We describe an efficient surgical technique for cemented hemiarthroplasty via the direct anterior approach. In this technique, head trialing is only done after the stem is cemented, thereby reducing the risks of intraoperative fracture to an already osteoporotic bone.http://www.sciencedirect.com/science/article/pii/S2352344125000901HemiarthroplastyCementingFemoral neck fracturesElderly patientsDirect anterior approach |
| spellingShingle | Hari P. Bezwada, MD Dilan Prasad, BS Carter Levine, BS Cementing Without Trialing is Safe and Efficient for Hip Hemiarthroplasty Arthroplasty Today Hemiarthroplasty Cementing Femoral neck fractures Elderly patients Direct anterior approach |
| title | Cementing Without Trialing is Safe and Efficient for Hip Hemiarthroplasty |
| title_full | Cementing Without Trialing is Safe and Efficient for Hip Hemiarthroplasty |
| title_fullStr | Cementing Without Trialing is Safe and Efficient for Hip Hemiarthroplasty |
| title_full_unstemmed | Cementing Without Trialing is Safe and Efficient for Hip Hemiarthroplasty |
| title_short | Cementing Without Trialing is Safe and Efficient for Hip Hemiarthroplasty |
| title_sort | cementing without trialing is safe and efficient for hip hemiarthroplasty |
| topic | Hemiarthroplasty Cementing Femoral neck fractures Elderly patients Direct anterior approach |
| url | http://www.sciencedirect.com/science/article/pii/S2352344125000901 |
| work_keys_str_mv | AT haripbezwadamd cementingwithouttrialingissafeandefficientforhiphemiarthroplasty AT dilanprasadbs cementingwithouttrialingissafeandefficientforhiphemiarthroplasty AT carterlevinebs cementingwithouttrialingissafeandefficientforhiphemiarthroplasty |