Cemented Femoral Stem Fixation: Back to the Future

Abstract

Background: Periprosthetic fractures following elective and nonelective hip arthroplasty remain one of the most common modes of early failure.

Methods: This symposium will explore the current role of cemented fixation and periprosthetic fracture, focusing on history and rationale for cemented stem fixation, registry data, and other potential advantages of cemented stem fixation. A meticulous and methodical surgical technique of cemented stem fixation is paramount to the success and will be thoroughly discussed.

Results: The role of stem fixation, and its effect on periprosthetic fracture is well-documented in the literature. Yet despite this, the utilization of cemented stem fixation remains low in the United States. This paradox is multifactorial.

Conclusion: In addition to a notable reduction in the risk of periprosthetic femur fractures, cemented stem fixation has numerous other advantages and is reproducible with a methodical surgical technique.

Keywords: cement; hip arthroplasty; periprosthetic fractures; stem fixation; uncemented.