ArticleClinics in orthopedic surgery2026
Comparison of Mortality and Revision Rates between Cemented and Cementless Fixation in Bipolar Hemiarthroplasty: A Nationwide Cohort Study.
Article in Clinics in orthopedic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Backgroud: The purpose of this study was to compare the mortality and the revision rates between patients undergoing cementless hemiarthroplasty (HA) and cemented HA using national claims data in South Korea. Methods: We identified patients who received HA from January 2003 to December 2019 using procedural codes and categorized them into 2 groups according to the fixation method: with or without cement. Orthopedic complications including dislocations, periprosthetic fractures (PPFs), and periprosthetic joint infections were evaluated. The revision survivorship was calculated using the following endpoints: stem revision only, conversion to total hip arthroplasty (THA) (including stem revision), any stem revision, conversion to THA (cup only), and any revision. Short-term mortality and adverse cardiac events were also assessed. Results: A total of 175,841 patients including 64,786 (36.8%) with cement and 111,055 (63.2%) without cement received HA. The cemented group (80.5 ± 8.1 years) was older than the cementless group (77.8 ± 10.3 years) ( Conclusions: Cemented fixation had a higher risk of short-term mortality and adverse cardiac events after HA, while it had a lower risk of femoral stem revision and PPFs.
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