Cementing Without Trialing is Safe and Efficient for Hip Hemiarthroplasty

Area of Science:

• Orthopedic Surgery
• Geriatric Trauma
• Arthroplasty

Background:

• Displaced femoral neck fractures predominantly affect elderly individuals, often from low-energy trauma.
• Hip hemiarthroplasty (bipolar or unipolar) is a common surgical treatment.
• Cemented implants demonstrate superior outcomes and lower reoperation rates compared to cementless options, yet cementless implants remain prevalent in elderly patients.

Purpose of the Study:

• To describe an efficient surgical technique for cemented hip hemiarthroplasty.
• To detail the application of the direct anterior approach for this procedure.
• To mitigate intraoperative fracture risks in osteoporotic bone.

Main Methods:

• A novel surgical technique for cemented hemiarthroplasty via the direct anterior approach is described.
• Head trialing is performed exclusively after stem cementing.
• This method aims to minimize stress on osteoporotic bone.

Main Results:

• The described technique offers an efficient method for cemented hemiarthroplasty.
• Performing head trialing post-cementation reduces the risk of intraoperative fracture.
• This approach may improve outcomes for elderly patients with femoral neck fractures.

Conclusions:

• The direct anterior approach facilitates an efficient technique for cemented hip hemiarthroplasty.
• This modified technique enhances safety by reducing intraoperative fracture risk in elderly patients.
• Optimizing cemented hemiarthroplasty may lead to better patient outcomes and fewer reoperations.