Mitigating surgical risk in patients undergoing hip arthroplasty for fractures of the proximal femur

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Journal of Bone and Joint Surgery - British Volume, Vol 91-B, Issue 7, A. J. Timperley, MBChB, FRCS(Ed), DPhil(Oxon), Consultant Orthopaedic Surgeon1; and S. L. Whitehouse, BSc(Hons), PhD, Biostatistician/Research Fellow2 Recently the National Patient Safety Agency in the United Kingdom published a report entitled "Mitigating surgical risk in patients undergoing hip arthroplasty for fractures of the proximal femur". A total of 26 deaths had been reported to them when cement was used at hemiarthroplasty between October 2003 and October 2008. This paper considers the evidence for using cement fixation of a hemiarthroplasty in the treatment of hip fractures.