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February 1, 2019MedicineOpen Access

Cemented hemiarthroplasty achieved better postoperative hip function at 12 months compared to uncemented hemiarthroplasty (OR 0.52; 95% CI 0.31-0.88; P=0.01).

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Why the study?

The study was conducted to compare the effectiveness and safety of cemented versus uncemented hemiarthroplasty for displaced femoral neck fractures.

Does cemented hemiarthroplasty improve outcomes compared to uncemented hemiarthroplasty in older adults with displaced femoral neck fractures?

Comparison

Cemented versus uncemented hemiarthroplasty

Design

Meta-analysis of RCTs

Key result

Cemented hemiarthroplasty achieved better postoperative hip function at 12 months compared to uncemented hemiarthroplasty (OR 0.52; 95% CI 0.31-0.88; P=0.01).

Authors

FLFeng LinYCYi Fan ChenBCBin Chen

Discussion

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Member takes

Overview

Cemented hemiarthroplasty yields better hip function and fewer periprosthetic fractures; supports preference over uncemented in elderly patients with displaced femoral neck fractures.

Study Design

Type

Meta-Analysis

Structured PICO

Does cemented hemiarthroplasty improve outcomes compared to uncemented hemiarthroplasty in older adults with displaced femoral neck fractures?

P
Population
Meta-analysis of 7 RCTs evaluating patients >55 years old (mean age >75) undergoing primary hemiarthroplasty for unilateral displaced femoral neck fractures.
I
Intervention
Cemented hemiarthroplasty
C
Comparator
Uncemented hemiarthroplasty
O
Outcome
Postoperative hip function, Harris hip score (HHS), mortality, reoperation rate, complications, operation time, and intraoperative blood loss

Main Result

Odds Ratio: 0.52 (95% CI 0.31–0.88)

p-value: p=.01

Cemented hemiarthroplasty provides better postoperative hip function and lower fracture rates than uncemented hemiarthroplasty for displaced femoral neck fractures in older adults, despite a longer operation time.

Cite This Study

Lin et al. (2019) conducted a meta-analysis in Displaced femoral neck fractures. Cemented hemiarthroplasty vs. Uncemented hemiarthroplasty was evaluated on Postoperative hip function at 12 months (OR 0.52, 95% CI 0.31-0.88, p=.01). Cemented hemiarthroplasty achieved better postoperative hip function at 12 months compared to uncemented hemiarthroplasty (OR 0.52; 95% CI 0.31-0.88; P=0.01).

synapsesocial.com/papers/6aa00bdafda9be3cfdefdf92https://doi.org/10.1097/md.0000000000014634
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cemented versus uncemented hemiarthroplasty of hip for displaced neck of femur fractures: A prospective comparative study2022 · 1 citations
  2. 2Cemented Versus Uncemented Hemiarthroplasty for Displaced Femoral Neck Fractures2011 · 131 citations
  3. 3Cemented vs. Uncemented Hemiarthroplasty for Displaced Femoral NeckFractures: A Prospective Comparative Analysis of Clinical and FunctionalOutcomes2025
  4. 4Uncemented Hemiarthroplasty in Displaced Femoral Neck Fractures is associated with Higher Perioperative Surgical Complications but Lower Medical Complications: Analysis from the National Inpatient Database.2023 · 3 citations
  5. 5Cemented or Uncemented Hemiarthroplasty for Femoral Neck Fracture? Data from the Norwegian Hip Fracture Register2019 · 126 citations