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August 7, 2025Journal of Bone and Joint Surgery

Cement Mantle Screws in Periprosthetic Hip Fracture Fixation Near Well-Fixed Femoral Stems May Not Impact Short-Term Femoral Stem Survivorship

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Authors

JSJames C. ShawRPRuby G. PatelPSPeter K. Sculco

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Overview

Retrospective review shows screw fixation in cement mantle does not affect femoral stem survivorship in fractures, indicating safety for surgical practices.

Key Points

  • Core finding reveals screw fixation into the cement mantle does not lead to femoral stem loosening in short-term follow-up.
  • Ninety-two percent of patients achieved radiographic union, demonstrating effective fixing techniques for periprosthetic fractures.
  • The review included data from 112 patients treated over 16 years under three surgeons, focusing on Vancouver Type-B1 and C fractures.
  • Findings support the use of plate constructs with screws in cement without increased risks of stem failure or complications.

Cite This Study

Shaw et al. (2025) studied this question.

synapsesocial.com/papers/689521e49f4f1c896c428301https://doi.org/10.2106/jbjs.24.00920
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