Evidence map›Paper›PMID 33453016›Full record

ReviewCurrent reviews in musculoskeletal medicine2021

Femoral Stem Cementation in Hip Arthroplasty: The Know-How of a "Lost" Art.

Ahmed K Emara, Mitchell Ng, Viktor E Krebs, Michael Bloomfield, Robert M Molloy, Nicolas S Piuzzi

Open access · hybridAbstract readReview
In one paragraph

Review in Current reviews in musculoskeletal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
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  11. Use of Cemented Hemiarthroplasty for Femoral Neck Fractures.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025
    Review
  12. Article
  13. Review
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  15. Article
  16. Cemented vs cementless stems for revision arthroplasties due to Vancouver B2 periprosthetic hip fracture.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
  17. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Ahmed K EmaraCleveland Clinic, Department of Orthopaedic Surgery, Cleveland, OH, USA.
Mitchell NgCleveland Clinic, Department of Orthopaedic Surgery, Cleveland, OH, USA.
Viktor E KrebsCleveland Clinic, Department of Orthopaedic Surgery, Cleveland, OH, USA.
Michael BloomfieldCleveland Clinic, Department of Orthopaedic Surgery, Cleveland, OH, USA.
Robert M MolloyCleveland Clinic, Department of Orthopaedic Surgery, Cleveland, OH, USA.
Nicolas S PiuzziCleveland Clinic, Department of Orthopaedic Surgery, Cleveland, OH, USA. piuzzin@ccf.org.
Cleveland Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewTo describe the (1) indications, (2) preoperative precautions, and (3) stepwise technical details of modern femoral stem cemented fixation. RECENT

findingsFemoral stem cementation provides excellent implant longevity with a low periprosthetic fracture rate among patients with compromised bone quality or aberrant anatomy. Unfamiliarity with the details of modern cementation techniques among trainees who may lack frequent exposure to cementing femoral stems may preclude them from offering this viable option to suitable patients in later stages of their careers. As such, maximizing benefit from cemented femoral stem fixation among suitable candidates is contingent upon the meticulous use of modern cementation techniques. In addition to proper patient selection, modern cementation techniques emphasize the use of (1) pulsatile lavage of the femoral canal, (2) utilization of epinephrine-soaked swabs, (3) vacuum cement mixing, (4) retrograde cement introduction, (5) cement pressurization, and (6) the use of stem centralizers. Furthermore, identifying and optimizing the preoperative status of at-risk patients with pre-existing cardiopulmonary compromise, in addition to intraoperative vigilance, are essential for mitigating the risk of developing bone cement implantation syndrome. Further research is required to assess the utility of cemented femoral stem fixation among younger patients.

Indexed as

Cemented femoral stem fixationFemoral stem designHemiarthroplastyModern cementation techniqueOperative stepsTotal hip arthroplasty (THA)

Identifiers

PMID33453016
PMCPMC7930165
OpenAlexW3125370553

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.