Table 1.
Comparison of cemented and uncemented hip arthroplasty for pathologic disease of the proximal femur.
| Cemented | Uncemented | P value | |
|---|---|---|---|
| Age (years) | Range: 51-91 Mean: 70 |
Range: 34-85 Mean: 67 |
0.39 |
| BMI | Range: 17-37 Mean: 25 |
Range: 16-39 Mean: 27 |
0.17 |
| Cancer Diagnosis | |||
| Prostate | 3 (16.7%) | 7 (30.4%) | |
| Lung | 4 (22.2%) | 4 (17.4%) | |
| Breast | 4 (22.2%) | 2 (8.7%) | |
| Renal Cell | 2 (11.1%) | 2 (8.7%) | |
| Primary bone or soft tissue tumor | 3 (16.7%) | 3 (13.0%) | |
| Other * | 2 (11.1%) | 5 (21.7%) | |
| Chemotherapy | 11 (61%) | 20 (86%) | 0.06 |
| Neoadjuvant Radiation (n=7) | 4 (22%) | 3 (13%) | 0.44 |
| Adjuvant Radiation (n=7) | 2 (11%) | 5 (22%) | 0.37 |
| Osteogenic Agents (n=6) | 2 (11%) | 4 (17%) | 0.57 |
| Implants | 18 | 23 | |
| Hemiarthroplasty | 8 (44%) | 16 (70%) | |
| Diaphyseal grit blasted | – | 13 (81%) | |
| Metaphyseal coated | – | 3 (9%) | |
| Total Hip Arthroplasty | 3 (17%) | 0 (0%) | |
| Proximal Femur Replacement (fully porous) | 7 (39%) | 7 (30%) | |
| Average Intraoperative Blood loss (mL) | 557 | 502 | 0.84 |
| Average Intraoperative Transfusion Requirements (units) | 0.75 | 0.83 | 0.98 |
| Deceased | 9 (50%) | 10 (43.5%) | 0.68 |
| Age of implant at patient death (days) | Range: 11-345 Mean: 127 |
Range: 2-1401 Mean: 302 |
0.12 |
| Complications | |||
| Total | 16.7% | 21.7% | 0.53 |
| 30-day mortality | 5.6% | 8.7% | 0.65 |
| Pulmonary complications | 5.6% | 4.3% | 0.77 |
| Musculoskeletal Tumor Society Score (MSTS) | Range: 10-25 Mean: 17.9 |
Range: 10-30 Mean: 19.6 |
0.63 |
| Harris Hip Score (HHS) | Range: 37-83 Mean: 58.7 |
Range: 32-87 Mean: 61.9 |
0.72 |