Retrospective case-control study examines surgical methods and outcomes in older adults with femoral neck fractures, indicating benefits of cemented fixation.
Key Points
To assess the effects of fixation method and surgical approach on outcomes following hip hemiarthroplasty for femoral neck fractures.
Retrospective case-control study of 634 patients at a Level 1 trauma center from 2019 to 2025
Patients categorized by cemented (n=403) or uncemented (n=231) fixation and surgical approach (anterolateral vs posterior)
Statistical analyses utilized independent-samples t-tests, Mann-Whitney U tests, Chi-square tests, and logistic regression.
Cemented hips with anterolateral approach had lowest dislocation rates (1.3%, p=0.036) and revision surgery (1.7%, p=0.024) before statistical correction
Cemented fixation was an independent predictor of discharge home (OR 2.17, p=0.002)
No significant differences in length of stay, postoperative pain, infection, or mortality within 1 year.