2026 AAHKS Annual Meeting: Association of Femoral Stem Design and Surgical Indication with BCIS in Cemented Hip Arthroplasty

343 patients undergoing cemented hemiarthroplasty or total hip arthroplasty were retrospectively evaluated according to femoral stem design (composite beam, taper-slip, or canal-filling) and surgical indication (fracture or elective). The primary outcomes were the incidence and severity of bone cement implantation syndrome (BCIS). Secondary outcomes included prolonged intubation, intensive care unit (ICU) admission, venous thromboembolism, and 30-day mortality. Outcomes were assessed perioperatively and up to 30 days postoperatively. Overall, the results revealed no significant differences in BCIS incidence or severity across femoral stem designs. However, fracture patients experienced significantly higher BCIS incidence, greater severity, and worse perioperative outcomes than elective patients. These findings suggested that surgical indication may be more important than femoral stem design when assessing BCIS risk.