Single-center RCT of 400 patients comparing cemented Thompson hemiarthroplasty versus uncemented Austin-Moore hemiarthroplasty for displaced intracapsular hip fractures. Blinded follow-up at a mean of 3.7 years assessed pain, mobility, mortality, complications, and activities of daily living.
When selecting fixation for displaced intracapsular hip fractures treated with hemiarthroplasty, use a cemented stem: cemented Thompson produces less pain, faster mobility and ADL recovery, shorter hospital stay, and far fewer intraoperative femoral fractures than uncemented Austin-Moore — with no mortality or complication penalty.
The one cardiac arrest during cement insertion in this series resolved uneventfully, but cement-related cardiovascular risk remains a consideration in the most physiologically fragile patients.
Single-center RCT of 400 patients comparing cemented Thompson hemiarthroplasty versus uncemented Austin-Moore hemiarthroplasty for displaced intracapsular hip fractures. Blinded follow-up at a mean of 3.7 years assessed pain, mobility, mortality, complications, and activities of daily living.
When selecting fixation for displaced intracapsular hip fractures treated with hemiarthroplasty, use a cemented stem: cemented Thompson produces less pain, faster mobility and ADL recovery, shorter hospital stay, and far fewer intraoperative femoral fractures than uncemented Austin-Moore — with no mortality or complication penalty.
The one cardiac arrest during cement insertion in this series resolved uneventfully, but cement-related cardiovascular risk remains a consideration in the most physiologically fragile patients.