ClinicalThere is no statistically significant difference in mortality at 30 days, 90 days, 1 year or 2 years (LOW QUALITY).

There is no statistically significant difference at 1 year in the number of patients requiring reoperations, number of patients pain requiring medication, number of patients unable to walk without aids, Barthel Score of less than 19, Harris Hip Score, Eq-5d index score and visual analogue score, deep wound sepsis, any wound infection, length of hospital stay (LOW QUALITY).

No RCT evidence was identified reporting total time to resettlement in the community and place of residence after hip fracture

No RCT evidence was identified to suggest there is a safety issue with using cement.
EconomicNo studies were identified on the cost-effectiveness of cemented vs. uncemented stem (newer designs of arthroplasty). An NCGC cost analysis found that cemented stems are £171.79 cheaper than the newer design uncemented stems. This evidence has minor limitation and partial applicability.

From: 10, Surgical procedures

Cover of The Management of Hip Fracture in Adults
The Management of Hip Fracture in Adults [Internet].
NICE Clinical Guidelines, No. 124.
National Clinical Guideline Centre (UK).
Copyright © 2011, National Clinical Guideline Centre.

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