Cemented vs uncemented hemiarthroplasty for the displaced neck of femur — your default?
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OrthoVellum Editorial · 7d ago
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AP pelvis radiograph showing bilateral Garden IV femoral neck fractures — Credit: Mariani P et al. - Case Rep Orthop (Open-i (NIH)), CC BY
For the displaced intracapsular neck of femur fracture in the typical 80-year-old, what is your default — cemented or uncemented hemiarthroplasty? Registry and trial data (and NICE/BOAST) lean cemented for lower revision and periprosthetic fracture, but bone-cement implantation syndrome keeps the debate alive. What do you do, and how do you mitigate BCIS in the frail patient?
