Cemented VS Uncemented Arthroplasty Mortality in Elderly Hip Fractures

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This dataset shows moderate evidence that supports the preferential use of cemented femoral stems in patients undergoing arthroplasty for hip fractures of the femoral neck.

Complexity

Randomized controlled trials have largely failed to demonstrate differences (Deangelis et al 84, Figved et al 85), with the exception of fracture risk, which appears to be higher in press-fit stems (Taylor et al 86). This remains an infrequent event in other studies. In general, both approaches yielded acceptable functional results with low complication rates.
As with all surgical procedures, there are potential risks and benefits which are unlikely to be affected by this recommendation. Long-term studies designed specifically to elucidate potential differences in postoperative fracture risk between cemented or press fit stems are needed.

Date Created

2014-09-05

Last Modified

2014-09-05

Version

2014-09-05

Update Frequency

Never

Temporal Coverage

1991-2012

Spatial Coverage

United States

Source

John Snow Labs => American Academy of Orthopaedic Surgeons (AAOS)

Source License URL

John Snow Labs Standard License

Source License Requirements

N/A

Source Citation

N/A

Keywords

Hip Fractures, Cemented Versus Uncemented Arthroplasty, Mortality in the Management of Hip Fractures, Hip Fractures in the Elderly, Bone Cement for Fractures, Neck of Femur Fracture, Femoral Neck Fracture, Hip Arthroplasty

Other Titles

Cemented Versus Uncemented Arthroplasty: Management of Hip Fractures, AAOS Guidelines on Hip Fracture Management, Mortality in the Management of Hip Fractures, Bone Cement Versus Uncemented Arthroplasty Mortality in Elderly Hip Fractures, Cemented Versus Uncemented Arthroplasty Mortality in Elderly Hip and Neck of Femur Fractures, Cemented Versus Uncemented Arthroplasty Mortality in Elderly Hip and Femoral Neck Fractures, Cemented Versus Uncemented Hip Arthroplasty Mortality in Elderly Hip Fractures

Name Description Type Constraints
StudyDescription of the previous studies used in this research.stringrequired : 1
OutcomeDescription of the reported outcomes from the participants who underwent either Cemented or Uncemented Arthroplasty.stringrequired : 1
TimeDescription of the duration of the treatment whether Cemented or Uncemented Arthroplasty.stringrequired : 1
Group_1Description of the type of procedure used in the first group.stringrequired : 1
Group_2Description of the type of procedure used in the second group.stringrequired : 1
Population_SizeShows the number of participants or population size in a certain group that received either Cemented or Uncemented Arthroplasty.integerrequired : 1 level : Ratio
StatisticDescription of the measurable characteristic of a sample population.string-
ResultResults of the study.numberlevel : Ratio
ProbabilityEffectiveness of the result based on the hypothesis of the study.numberlevel : Ratio
Study_P_ValueStatistical significance of the results of the study.string-
FavorsDescription of which method is more effective.stringrequired : 1
StudyOutcomeTimeGroup_1Group_2Population_SizeStatisticResultProbabilityStudy_P_ValueFavors
Taylor et al 2012Mortality1 yearCemented arthroplastyUncemented hemiarthroplasty160>.05NS
Taylor et al 2012Mortality6 weeksCemented arthroplastyUncemented hemiarthroplasty160>.05NS
Taylor et al 2012Mortality2 yearsCemented arthroplastyUncemented hemiarthroplasty160>.05NS
Taylor et al 2012Mortality6 monthsCemented arthroplastyUncemented hemiarthroplasty160>.05NS
Figved et al 2009Mortality7 daysCemented HemiarthroplastyUncemented Hemiarthroplasty213Risk ratio0.730.67NS
Figved et al 2009Mortality30 DaysCemented HemiarthroplastyUncemented Hemiarthroplasty213Risk ratio0.490.23NS
Figved et al 2009Mortality90 DaysCemented HemiarthroplastyUncemented Hemiarthroplasty213Risk ratio0.840.63NS
Singh et al 2006MortalityIn hospitalCemented arthroplastyUncemented hemiarthroplasty160Risk ratio0.9880.878NS
Figved et al 2009Mortality12 MonthsCemented HemiarthroplastyUncemented Hemiarthroplasty213Risk ratio0.650.09NS
Figved et al 2009Mortality24 MonthsCemented HemiarthroplastyUncemented Hemiarthroplasty213Risk ratio0.860.47NS