Femoral neck fractures

Summary

Limited evidence from one randomized controlled trial and four retrospective cohort studies suggests that cemented and uncemented hemiarthroplasty for femoral neck fractures may lead to comparable outcomes. There was conflicting evidence regarding function, activities of daily living (ADL), and quality of life. While patients receiving the cemented prosthesis tended to experience a lower revision rate, a lower periprosthetic fracture rate, and a lower mortality rate, the results were somewhat conflicting and did not consistently reach statistical significance. The treatment groups were similar regarding nonfatal complication rates other than periprosthetic fractures. Some of the cohort studies were limited by a small number of patients assessed for outcomes and inadequate follow-up time. Additional randomized studies with large populations, intent-to-treat analysis, and standardized outcome measures are needed to confirm these results.