Microporous titanium and hydroxyapatite improve fixation of the tibial wall in unicompartmental knee replacement.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] 15. J Orthop Sports Med. 2026;8(1):68-73. doi: 10.26502/josm.511500255. Epub 2026 Mar 12. Geriatric Total Hip Arthroplasty: Fixation Strategies, Approaches and Outcomes. Saber B(1), Agrawal DK(1). Author information: (1)Department of Translational Research, College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona CA 91766, USA. Total hip arthroplasty (THA) is a cornerstone of geriatric medicine, yet the selection of optimal fixation strategies and surgical approaches remains a subject of intense clinical debate. As global demographics shift toward an aging population, the demand for THA is projected to rise exponentially, necessitating a thorough evaluation of perioperative outcomes and long-term survivorship. This review critically analyzes recent 2024-2025 evidence regarding the biomechanical stability and clinical efficacy of cemented versus cementless fixation in patients aged 70 years or older. Current literature suggests that while cementless technology dominates younger cohorts, cemented fixation provides superior initial rotational stability in the osteoporotic environment, significantly reducing the risk of intraoperative periprosthetic fractures. Furthermore, this report examines the impact of the Direct Anterior Approach (DAA) compared to the Posterior Approach (PA) within the framework of Enhanced Recovery After Surgery (ERAS), highlighting the DAA's benefits in minimizing soft-tissue trauma and reducing hospital length of stay. Finally, we synthesize modifiable and non-modifiable risk factors for periprosthetic joint infection (PJI) and fracture progression. Understanding these multifaceted factors is essential for tailoring personalized surgical interventions and improving functional recovery in the geriatric population. DOI: 10.26502/josm.511500255 PMCID: PMC13056365