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Safety and Efficacy of Non-Cemented Femoral Fixation in Patients 75 Years of Age and Older


The aim of this study was to assess peri-operative complications, safety and efficacy of non-cemented femoral fixation in total hip arthroplasty (THA) as compared to cemented femoral fixation in the elderly population. Fifty-two matched pair analysis of patients with 75 years of age and older (104 patients), who underwent primary THA from June 1997 to December 2004, was performed based on age, sex, BMI, and Charnley classification. Mean age was 81 years (75–101) and the average follow up was 3.1 ± 2.9 years (1.2–6.4). There was no difference in peri-operative cardiopulmonary complications, pulmonary failures, deep venous thrombosis, pulmonary embolus, length of stay, or discharge deposition between the two groups. Non-cemented fixation is safe and effective in patients older than 75 years of age.

The Journal of Arthroplasty

Volume 28, Issue 8, September 2013, Pages 1378-1380

Morteza Meftah MDa, MarioJohn MDb, Matin Lendhey MSa, Aleksandr Khaimov MDa, Amar S. RanawatMDa, Chitranjan S. Ranawat MDa

aHospital for Special Surgery, New York, New York

bHoward University Hospital, Washington DC

Received 6 September 2012, Accepted 18 November 2012, Available online 23 March 2013.