Publication Name	World Journal of Orthopedics
Manuscript ID	115615
Country	Saudi Arabia

Category	Orthopedics
Manuscript Type	Systematic Reviews
Article Title	Cemented vs uncemented femoral fixation in total hip arthroplasty: A systematic review and meta-analysis of periprosthetic fracture risk
Manuscript Source	Unsolicited Manuscript
All Author List	Mohammed H Abushal, Osama M Embaby, Mahmoud Mersal, Emran Badghish and Mohamed Elalfy
Funding Agency and Grant Number
Corresponding Author	Mohammed H Abushal, Assistant Professor, Department of Orthopedic Surgery, University of Tabuk, Duba Road, University City, Tabuk 71491, Saudi Arabia. mabushal@ut.edu.sa
Key Words	Periprosthetic femoral fracture; Total hip arthroplasty; Primary total hip arthroplasty; Cemented fixation; Uncemented fixation; Meta-analysis; Fracture prevention
Core Tip	This article evaluated the effect of cemented vs uncemented femoral fixation in primary total hip arthroplasty on the risk of periprosthetic femoral fracture. Twenty-seven studies were reviewed, and three provided comparative data for quantitative analysis. The findings showed a non-significant trend toward fewer periprosthetic femoral fractures with cemented fixation but high heterogeneity among studies. These results highlight the need for individualized fixation choice in total hip arthroplasty and underscore the importance of high-quality prospective research to clarify optimal fixation strategies.
Citation	Abushal MH, Embaby OM, Mersal M, Badghish E, Elalfy M. Cemented vs uncemented femoral fixation in total hip arthroplasty: A systematic review and meta-analysis of periprosthetic fracture risk. World J Orthop 2025; In press

Received	2025-10-21 06:47
Peer-Review Started	2025-10-21 06:49
First Decision by Editorial Office Director	2025-11-04 09:31
Return for Revision	2025-11-04 09:31
Revised	2025-11-04 21:48
Publication Fee Transferred	2025-11-06 15:05
Second Decision by Editor	2025-12-16 02:42
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2025-12-16 08:49
Articles in Press	2025-12-16 08:49
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2218-5836 (online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0
Copyright	© The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Permissions	For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher	Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website	http://www.wjgnet.com