Cemented hemiarthroplasty
Cemented hemiarthroplasty has been studied in 9 papers since 2021: 2 trials and 6 observational studies in people, 1 review. The newest paper, Jan 9, 2025: “Mortality and functional outcomes in elderly adults treated surgically by hemiarthroplasty for femoral neck fractures”.
9 papers study it13 findingsUpdated
“The mortality was significantly lower in those treated with a cemented hemiarthroplasty (p = 0.029).”
4 of its findings point the other way.
- 6 independent labs in 5 countries
- 4 findings against
- Funders: National Natural Science Foundation of China and 1 more
- Human trial2
- Humans6
Studies in people
2 studies gave cemented hemiarthroplasty to people and measured what changed.
down: Decreases mortalityp = 0.029
up: Improves mobilityinitially significantly better
no change: Has no effect on painno significant difference
Randomized trial400 peopleBoth85 years (58 to 102)three years
Older adults; The oldest old; displaced intracapsular fracture of the hip
The bone & joint journal, Nov 1, 2023
up: Improves physical function64.7% good to excellent
Trial17 peopleaverage age was 72.75 years12 months
Older adults; comminuted intertrochanteric fractures
Journal of orthopaedics, May 26, 2023
What did studies of Cemented hemiarthroplasty find?
8Studies of Cemented hemiarthroplasty measured 8 outcomes; the most studied are mortality (4 studies), physical function (2) and mobility (2).
Mortality
downin humans2no changein humans2
4 studies
Mortality
downin humans2no changein humans2
Cemented hemiarthroplasty decreases mortality in humans.
“The use of cemented hemiarthroplasty in patients with femoral neck fractures presented better results when compared to uncemented hemiarthroplasty in terms of HRQoL during the first year after surgery and greater mortality reduction at 1 year follow-up”
Reviewfemoral neck fractures1 year
Orthopaedic surgery
Cemented hemiarthroplasty has no effect on mortality in humans (7 day (.9 % vs 1.2 %), 14 day (1.9 % vs 2.3 %), inpatient (4 % vs 5.1 %)).
“The use of cement did not have any significant difference on post op mortality, mobility or discharge destination.”
Humansintracapsular hip fracturesn = 7,109
The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
Cemented hemiarthroplasty decreases mortality in humans (p = 0.029).
“The mortality was significantly lower in those treated with a cemented hemiarthroplasty (p = 0.029).”
Human trialdisplaced intracapsular fracture of the hipthree yearsfemale (68%)sn = 400
Cemented versus uncemented hemiarthroplasty for displaced intracapsular fractures of the hip
The bone & joint journal
Cemented hemiarthroplasty has no effect on mortality in humans.
“There was no significant difference in the AO classification, underlying diseases, ASA grade, Singh index, surgical time, and survival outcomes of the HA (45 patients) group and PFNA group (54 patients).”
Human trialintertrochanteric femoral fracturesn = 99
BMC musculoskeletal disorders
Physical function
no changein humans1upin humans1+65% good to excellent
2 studies
Physical function
no changein humans1upin humans1+65% good to excellent
Cemented hemiarthroplasty has no effect on physical function in humans (identical).
“modified Harris Hip score and Oxford Hip score and were found to be identical in both cemented and uncemented hemiarthroplasty groups.”
Humans12 months
SAGE open medicine
Cemented hemiarthroplasty improves physical function in humans (64.7% good to excellent).
“The functional assessment by HHS showed good to excellent outcomes in most of the patients (64.7%).”
Human trialcomminuted intertrochanteric fractures12 monthsn = 17
Journal of orthopaedics
Mobility
no changein humans1upin humans1
2 studies
Mobility
no changein humans1upin humans1
Cemented hemiarthroplasty has no effect on mobility in humans (79.7 % vs 80.9 %).
“There was no difference in day 1 post op mobilisation (79.7 % vs 80.9 %) or cumulative ambulatory score on discharge (2.5 vs 2.4).”
Humansintracapsular hip fracturesn = 7,109
The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
Cemented hemiarthroplasty improves mobility in humans (initially significantly better).
“Recovery of mobility was initially significantly better in those treated with a cemented hemiarthroplasty, although by three years after surgery this difference became statistically insignificant.”
Human trialdisplaced intracapsular fracture of the hipup to three yearsfemale (68%)sn = 400
Cemented versus uncemented hemiarthroplasty for displaced intracapsular fractures of the hip
The bone & joint journal
Health-related quality of life
upin humans1
1 study
Health-related quality of life
upin humans1
Cemented hemiarthroplasty improves health-related quality of life in humans (MD 0.07, 95% CI 0.03-0.12, p = 0.003).
“The early (after 3-4 months) EQ-5D utility score (MD 0.07; 95% CI 0.03-0.12; p = 0.003; I 2 = 22%) and the 12-month EQ-5D utility score”
Reviewfemoral neck fracturesafter 3-4 months
Orthopaedic surgery
Discharge to home directly
no changein humans1
1 study
Discharge to home directly
no changein humans1
Cemented hemiarthroplasty has no effect on discharge to home directly in humans (21 % vs 27 %).
“There was no difference in length of stay (11 vs 12 days) or discharge to home directly (21 % vs 27 %).”
Humansintracapsular hip fracturesn = 7,109
The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
Pain
no changein humans1
1 study
Pain
no changein humans1
Cemented hemiarthroplasty has no effect on pain in humans (no significant difference).
“There was no significant difference in pain scores, or in the incidence of implant-related complications or revision surgery, between the two groups.”
Human trialdisplaced intracapsular fracture of the hipthree yearsfemale (68%)sn = 400
Cemented versus uncemented hemiarthroplasty for displaced intracapsular fractures of the hip
The bone & joint journal
Harris hip score
upin humans1
1 study
Harris hip score
upin humans1
Cemented hemiarthroplasty improves Harris hip score in humans (HA: 86.8 [81.90 ~ 90.23], PFNA: 83.48 [75.13 ~ 88.23]).
“It also had a higher total Harris score than the PFNA group at the 6-month follow-up visit (HA: 86.8 [81.90 ~ 90.23], PFNA: 83.48 [75.13 ~ 88.23]).”
Human trialintertrochanteric femoral fractures6 monthsn = 99
BMC musculoskeletal disorders
Days to partially bearing weight
upin humans1
1 study
Days to partially bearing weight
upin humans1
Cemented hemiarthroplasty improves days to partially bearing weight in humans (HA: 4 [2 ~ 4.5] days, PFNA: 10 [8~14] days).
“The HA group was associated with earlier partial weight-bearing (HA: 4 [2 ~ 4.5] days, PFNA: 10 [8~14] days).”
Human trialintertrochanteric femoral fracturesn = 99
BMC musculoskeletal disorders