TABLE VII.

Grades of Recommendation for the Use of Cemented Femoral Stem Fixation in Hip Arthroplasty

Grade*	Recommendation
B	Elderly patients who are >70 years old, especially women
B	Patients with poor bone stock, thin femoral cortices, and wide medullary canals (Dorr type C)
B	History of osteoporosis or fragility fracture
B	Displaced femoral neck fracture (except in young patients with fractures related to high-energy mechanisms)
I	When intraoperative broach stability cannot be obtained in attempting cementless fixation

^*According to Wright⁶⁸, grade A indicates good evidence (level-I studies with consistent findings) for or against recommending intervention; grade B indicates fair evidence (level-II or III studies with consistent findings) for or against recommending intervention; grade C indicates poor-quality evidence (level-IV or V studies with consistent findings) for or against recommending intervention; and grade I indicates insufficient or conflicting evidence precluding a recommendation for or against intervention.