Does the type of fixation (cemented vs. uncemented) of an oncologic endoprosthesis influence the incidence of subsequent surgical site infection/ periprosthetic joint infection (SSI/PJI)?

Does the type of fixation (cemented vs. uncemented) of an oncologic endoprosthesis influence the incidence of subsequent surgical site infection/ periprosthetic joint infection (SSI/PJI)?

Authors: Richard O’Donnell, John Strony

RECOMMENDATION: There is conflicting evidence surrounding this topic. Multiple studies have demonstrated superiority with cemented fixation of an oncologic endoprosthesis while others have suggested superiority with uncemented fixation. Therefore, the choice of the method of fixation should be made on the basis of all clinical indications, other than the influence of fixation on subsequent SSI/PJI.

LEVEL OF EVIDENCE: Limited

DELEGATE VOTE: Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus)

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