Perioperative Best Practices When Using Cemented Femoral Stem Fixation During Arthroplasty for the Treatment of Geriatric Femoral Neck Fractures

Femoral neck fractures are common geriatric fractures, with an incidence of approximately 500 per 100,000 people. Utilization rates of cemented femoral components in the treatment of geriatric femoral neck fractures are markedly lower in the United States relative to other Western countries. Surgeons may feel uncomfortable cementing femoral components secondary to a lack of experience or training, increased surgical time, concern for cardiopulmonary injury secondary to bone cement implantation syndrome, and/or concerns for increased rates of perioperative morbidity or mortality. This review covers contemporary data on the use of cemented femoral components for geriatric femoral neck fractures, preoperative considerations when using a cemented femoral implant, intraoperative techniques and communication, and how to avoid/mitigate acute medical complications during cementing.