ARTHROPLASTY
Uncemented stems: Higher function but increased risk of late periprosthetic fracture
This report has been verified
by one or more authors of the
original publication.
Clin Orthop Relat Res. 2014 Apr;472(4):1291-9
223 patients (with 230 fractures) were randomized to either an uncemented femoral stem or cemented femoral stem in hemiarthroplasty for a displaced femoral neck fracture. While outcomes at 3 months and 1 year were demonstrated to be similar, this study reported on functional outcome, health-related quality of life, and complications at a median of 5 year follow-up. Harris Hip Scores were significantly higher in the uncemented group at 5 years, while the incidence of periprosthetic fracture was also significantly higher in this treatment group. Health-related quality of life outcomes were comparable between cemented and uncemented stems.
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