ArticleJournal of experimental orthopaedics2026
Cemented versus uncemented stems in total hip arthroplasty: No independent effect on transfusion or complications despite reduced total blood loss.
Article in Journal of experimental orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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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.
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Who cites it
3 citing papers in PubMed.
- Impact of hematologic disorders on decline in hemoglobin levels after total hip arthroplasty.The Journal of international medical research · 2026Article
- A multivariable model for perioperative transfusion risk in elective primary THA.BMC musculoskeletal disorders · 2026Article
- Hidden blood loss estimation using perioperative hemoglobin drop: agreement with the Sehat formula.BMC surgery · 2026Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: The impact of femoral stem fixation on perioperative blood loss and transfusion in total hip arthroplasty (THA) remains controversial. To compare cemented and uncemented stem fixation in elective primary THA regarding perioperative blood loss, transfusion requirements and postoperative complications. We hypothesized that stem fixation would not independently influence transfusion or complication risk after adjustment for patient-related factors. Methods: This retrospective cohort study analysed data from a institutional registry including THAs performed between 2016 and 2023. Patients were stratified according to femoral stem fixation (cemented vs. uncemented). Outcomes included intraoperative, total and hidden blood loss (HBL), allogeneic red blood cell transfusion and postoperative complications. Multivariable linear and logistic regression analyses assessed the independent effect of stem fixation, adjusting for age, sex, body mass index, American Society of Anesthesiologists (ASA) class, operative time and preoperative haemoglobin. Results: A total of 648 patients were included (uncemented Conclusion: In elective primary THA, cemented femoral stem fixation is associated with a modest reduction in total blood loss but does not independently influence transfusion rates or postoperative complication risk. Clinically, these findings indicate that fixation should not be selected based on expectations of reduced transfusion risk. Instead, perioperative blood management should focus on patient-related factors, particularly preoperative haemoglobin optimization. Level of Evidence: Level III, retrospective comparative cohort study.
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