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Trends in Cemented Fixation in Hemiarthroplasty for Hip Fractures in Canada
Christiaan H Righolt1,2, Gavin C A Wood3, Jason R Werle4
1Orthopaedic Innovation Centre, Winnipeg, Manitoba, Canada.
Bacground:
The use of cemented fixation is widely recommended in hip arthroplasty for hip fractures, although it is not used universally.
Methods:
We describe the trends in cementing prevalence in hemiarthroplasty for hip fractures in Canada for patients ≥55 years old between April 2017 and March 2022.
Results:
The national prevalence of cemented fixation increased from 43% in 2017/18 to 58% in 2021/22, but there was a large variety of both the baseline prevalence and the trends across the country and between individual hospitals. The proportion of surgeons only performing cementless fixation fell from 30% to 21% between 2018/19 and 2021/22.
Conclusions:
As cemented fixation is now universally recommended, more coordination is needed to track these trends and to help drive implementation of this evidence-based practice across Canada.
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