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January 2025

JRGOS Journal Club

Use of Cemented Hemiarthroplasty for Femoral Neck Fractures

Sheena J. Amin, MD, John K. Krumme, MD, L. Nathan Gause, MD, MBA, Jonathan R. Rubin, MD, Akin Cil, MD

J Am Acad Orthop Surg Glob Res Rev. 2025 Jan 3;9(1):e24.00183. doi: 10.5435/JAAOSGlobal-D-24-00183. PMCID: PMC11706589.

L. Nathan Gause, MD, MBA is the JRGOS Board Member Representative to the AAOS Board of Orthopaedic Surgery (BOS), and is the Co-Chair of the 2025 JRGOS Foundations of Orthopaedics Symposium (JFOS) for PGY1-5 Orthopaedic Residents in Kansas City, Missouri May 2025. Dr. Gause is an Assistant Professor at the Department of Orthopaedics at the University of Missouri-Kansas City (UMKC), the Vice Chair, Clinical Operations Chief, Foot and Ankle Service Department of Orthopaedic Surgery Chair, Council for Inclusive Excellence UMKC School of Medicine, Kansas City Medical Director, and Health Equity Physician Informaticist University Health KC.

Akin Cil, MD, MBA, is a member of JRGOS and the Chair of the Department of Orthopaedics at the University of Missouri-Kansas City (UMKC). Dr. Cil holds the Franklin D. Dickson/Missouri Endowed Associate Professorship in Orthopaedic Research at UMKC. UMKC will be hosting the 2025 JFOS for PGY1-5 Orthopaedic Residents May 2025.

This review article Use of Cemented Hemiarthroplasty for Femoral Neck Fractures, link below, summarizes the latest literature on cemented hemiarthroplasties for femoral neck fractures and offers practical insights on cementing techniques. According to evidence-based research, the AAOS Clinical Practice Guidelines strongly endorses the use of cemented femoral stems in the management of femoral neck fractures.

Image of the different stages of cement curing: (1) Mixing phase, (2) “Sticky” or Waiting Phase, (3) Working Phase, (4) Hardening Phase.

Cement is utilized in the management of femoral neck fractures to act as an elastic buffer between the rigid implant and the softer bone. Several studies have shown that cemented hemiarthroplasties are associated with reduced pain, improved functional outcomes, lower rates of periprosthetic fractures, and fewer revisions compared to non-cemented hemiarthroplasties. The article outlines four distinct phases in the cement curing process: (1) the mixing phase, (2) the “sticky” or waiting phase, (3) the working phase, and (4) the hardening phase. The duration of these phases can be influenced by factors such as room temperature and humidity.

Recommended steps for cement application in cemented hip hemiarthroplasties.

Based on the cementation technique used by the lead author, several tips are provided for successful cement application.


Use of Cemented Hemiarthroplasty for Femoral Neck Fractures. J Am Acad Orthop Surg Glob Res Rev. 2025 Jan 3;9(1):e24.00183. doi: 10.5435/JAAOSGlobal-D-24-00183. PMCID: PMC11706589.

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