98%
921
2 minutes
20
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.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11222958 | PMC |
http://dx.doi.org/10.1016/j.artd.2024.101441 | DOI Listing |
Am J Case Rep
September 2025
Department of Orthopedic Surgery, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.
BACKGROUND The treatment of nonunion with deformity and shortening remains a significant challenge in orthopedic surgery. The chipping and lengthening technique is used for bone reconstruction and new bone formation, without the need for bone grafting. However, inadequate bone regeneration can require additional treatment.
View Article and Find Full Text PDFWorld J Methodol
December 2025
Centro de Cadera ''Sir John Charnley'' Instituto de Ortopedia y Traumatologia Prof. Dr. Carlos E. Ottolenghi, Hospital Italiano de Buenos Aires, Capital Federal C1198AAW, Buenos Aires, Argentina.
We report a unique case of bilateral femoral stem fractures in a patient with Dorr A femoral morphology, underscoring the need for a critical reassessment of implant selection strategies. The initial failure involved a cemented revision stem placed using the cement-within-cement technique combined with an extended trochanteric osteotomy (ETO). A second revision was subsequently performed using a cortical window osteotomy and a distally fixed uncemented stem, which resulted in successful recovery.
View Article and Find Full Text PDFJ Bone Joint Surg Am
September 2025
Department of Orthopaedic Surgery and Sports Medicine, University of Washington School of Medicine, Seattle, Washington.
Cureus
July 2025
Orthopedics, Aseer Central Hospital, Ministry of Health, Abha, SAU.
Revision total knee arthroplasty (rTKA) is often complicated by metaphyseal bone loss, requiring stable fixation techniques to restore function and alignment. Metaphyseal sleeves and cones have shown promising clinical outcomes, particularly in cases of severe bone defects. However, no gold standard therapy has been established.
View Article and Find Full Text PDFCureus
July 2025
Department of Orthopaedic Surgery, Institute of Medicine, University of Tsukuba, Tsukuba, JPN.
Objective: We aim to identify the characteristics and risk factors of intravascular cement leakage (CL) in cement-augmented fenestrated pedicle screw (CAFPS) insertion, particularly focusing on screw trajectory, bone density, and vertebral body volume.
Methods: A retrospective observational study was conducted on 41 patients who underwent spinal fixation surgery with CAFPS from June 2022 to November 2024. Intravascular cement leakage (CL) was assessed using postoperative computed tomography (CT) scans.